Individual provider · Type 1 NPI

Domenica Elena Kerissa Bueti, DMD

Student in an Organized Health Care Education/Training Program · Farmington, CT

NPI number 1215657135 Active

Practice location

263 Farmington Ave
Farmington, CT 06030-0001

Call (860) 679-2000 Map

Mailing address

1212 Main St
Hartford, CT 06103-1259

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X13567 (CT)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1215657135

Domenica Elena Kerissa Bueti, DMD's National Provider Identifier is 1215657135, issued on Aug 31, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Farmington, CT. The record was last updated on Sep 6, 2022.