| Mitra Kabakoff D.d.d., Pllc | |
|
231 Farmington Ave Ste 302 Farmington CT 06032-1915 | |
| (860) 269-0949 | |
| Not Available |
| Full Name | Mitra Kabakoff D.d.d., Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 231 Farmington Ave Ste 302, Farmington, Connecticut |
| Authorized Official Name and Position | Mitra Kabakoff (OWNER) |
| Authorized Official Contact | 9173124744 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mitra Kabakoff D.d.d., Pllc 231 Farmington Ave Ste 302 Farmington CT 06032-1915 Ph: () - | Mitra Kabakoff D.d.d., Pllc 231 Farmington Ave Ste 302 Farmington CT 06032-1915 Ph: (860) 269-0949 |
| NPI Number | 1477230753 |
|---|---|
| Provider Enumeration Date | 06/29/2023 |
| Last Update Date | 06/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477230753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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