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1972911840
RUSLANS MAIDANS
PUTNAM, CT
NPI
1972911840
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CT 11721)
Additional Taxonomies
122300000X Dentist
(Licence: VA 0401414459)
Enumeration Date
2014-07-23
Last Update Date
2016-10-25
Business Address
-- RUSLANS MAIDANS D.D.S.
202 POMFRET ST
PUTNAM, CT 06260-1833
Phone number: 860-963-7917
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Mailing Address
-- RUSLANS MAIDANS D.D.S.
40 MANSFIELD AVE
WILLIMANTIC, CT 06226-2018
Phone number: 860-450-7471
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