Membrino, Ralph Gerard

Membrino, Ralph Gerard is an individual health care provider with primary practice located at 571 Wolcott St , Waterbury CT 06705-1310. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Membrino, Ralph Gerard can be contacted via phone (203) 753-9503.

Contact Information

Primary practice address
571 Wolcott St Waterbury CT 06705-1310
Phone: (203) 753-9503
Fax: (203) 755-4831
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5805 Connecticut

Profile Details

NPI number 1417949405
LBN Legal business name Membrino, Ralph Gerard
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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