CHARLES J. BENCIVENGO

BRISTOL, CT
NPI1215029368
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CT  4945)
Enumeration Date2006-09-28
Last Update Date2007-07-08
Business Address
Dr. CHARLES J. BENCIVENGO D.M.D.
21 PLEASANT ST
BRISTOL, CT 06010-6254
Phone number: 860-582-8095
Mailing Address
Dr. CHARLES J. BENCIVENGO D.M.D.
21 PLEASANT ST
BRISTOL, CT 06010-6254
Phone number: 860-582-8095
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