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NPI Code Detail

MEDICARE: DR. MARIA MICHELLE CRACIUN BRUTTEN

MEDICARE: DR. MARIA MICHELLE CRACIUN BRUTTEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry0401417773VA

General Provider Information

NPI Number : 1881116069
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARIA MICHELLE CRACIUN BRUTTEN
Provider Business Mailing Address
First Line : 3212 HAMPTON HWY
Second Line :
City : YORKTOWN
State : VA
Zip : 23693-4948
Country : US
Telephone Number : 757-209-2786
Fax Number :
Provider Business Practice Location Address
First Line : 263 FARMINGTON AVE
Second Line :
City : FARMINGTON
State : CT
Zip : 06030-0001
Country : US
Telephone Number : 860-679-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2017
Last Update Date : 03/24/2026

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Directions to “ DR. MARIA MICHELLE CRACIUN BRUTTEN ” Practice Location

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