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1477543767
RICHARD G BEVILACQUA
GLASTONBURY, CT
NPI
1477543767
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: CT 008006)
Enumeration Date
2005-10-27
Last Update Date
2008-12-10
Business Address
-- RICHARD G BEVILACQUA D.M.D., M.D.
71A NAUBUC AVE
GLASTONBURY, CT 06033-2006
Phone number: 860-633-3519
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Mailing Address
-- RICHARD G BEVILACQUA D.M.D., M.D.
71A NAUBUC AVE
GLASTONBURY, CT 06033-2006
Phone number: 860-633-3519
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