Kasimer Kowalski Dmd Pc | |
477 Connecticut Blvd Ste 106 East Hartford CT 06108-3228 | |
(860) 289-4848 | |
(860) 289-3798 |
Full Name | Kasimer Kowalski Dmd Pc |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 477 Connecticut Blvd Ste 106, East Hartford, Connecticut |
Authorized Official Name and Position | Edward Sebastian Goracy (PRESIDENT) |
Authorized Official Contact | 8602894848 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kasimer Kowalski Dmd Pc 477 Connecticut Blvd Ste 106 East Hartford CT 06108-3228 Ph: (860) 289-4848 | Kasimer Kowalski Dmd Pc 477 Connecticut Blvd Ste 106 East Hartford CT 06108-3228 Ph: (860) 289-4848 |
NPI Number | 1013932805 |
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Provider Enumeration Date | 07/13/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013932805 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 4001 (Connecticut) | Primary |
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