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General NPI Number Information
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NPI Number | 1750599551
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Entity Type | Organization
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Legal Business Name | B & B DENTISTRY LLC
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 686 E MAIN ST
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City | TORRINGTON
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State | CT
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Zip | 06790-3931
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Country | US
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Telephone | 860-489-9091
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Fax | 860-496-7110
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Provider Business Mailing Address
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Address Line | 686 E MAIN ST
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City | TORRINGTON
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State | CT
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Zip | 06790-3931
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Country | US
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Telephone | 860-489-9091
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Fax | 860-496-7110
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Authorized Official
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Title or Position | CEO
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Name | DR. CARLOS BRAVERMAN
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Credential | D.D.S.
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Telephone | 860-489-9091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State | CT
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