NPI 1013932805

Kasimer Kowalski DMD PC

Organisation Oral and Maxillofacial Surgery (Dentist) East Hartford, CT

Practice location

Address: 477 Connecticut Blvd STE 106, East Hartford, CT 06108-3228
Phone: (860) 289-4848
Fax: (860) 289-3798

Authorised official

Name: Edward Sebastian Goracy
Title: President
Phone: (860) 289-4848

Registered specialties

Oral and Maxillofacial Surgery (Dentist) Primary

Dental Providers Taxonomy 1223S0112X Licence 4001 (CT)

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Registry record

NPI: 1013932805
Entity type: Organization
NPI issued: 13 Jul 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.