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Komarow Dental Pc
Clinic/Center in Avon, Connecticut
NPI 1851807218

Komarow Dental Pc is a Clinic/Center based in Avon, CT. Komarow Dental Pc practices in Avon, CT. The NPI Number for Komarow Dental Pc is 1851807218 and holds a License No. 6508 (Connecticut).

The current practice location address for Komarow Dental Pc is 40 Dale Rd, Avon, CT and can be reached out via phone at 860-677-2171 and via fax at 860-677-2171.

Location: 40 Dale Rd, Avon, CT, 06001-3692
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1851807218
Provider Name
Komarow Dental Pc
Credential
Provider Entity Type
Organization
Address
40 Dale Rd, Avon, CT, 06001-3692
Phone Number
860-677-2171
Fax Number
860-677-2171
Provider Enumeration Date
12/21/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1932311453 01 CT IRS
institution
Provider Business Practice Location Address Details
Address
40 Dale Rd
City
Avon
State
Connecticut
Zip
06001-3692
Phone Number
860-677-2171
Fax Number
860-677-2171
person
Provider Business Mailing Address Details
Address
40 Dale Rd
City
Avon
State
Connecticut
Zip
06001-3692
Phone Number
860-677-2171
Fax Number
860-677-2171
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
6508 (Connecticut)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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