RUSLANS MAIDANS

PUTNAM, CT
NPI1972911840
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: CT  11721)
Additional Taxonomies122300000X Dentist
(Licence: VA  0401414459)
Enumeration Date2014-07-23
Last Update Date2016-10-25
Business Address
-- RUSLANS MAIDANS D.D.S.
202 POMFRET ST
PUTNAM, CT 06260-1833
Phone number: 860-963-7917
Mailing Address
-- RUSLANS MAIDANS D.D.S.
40 MANSFIELD AVE
WILLIMANTIC, CT 06226-2018
Phone number: 860-450-7471