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General NPI Number Information
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NPI Number | 1003984824
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Entity Type | Organization
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Legal Business Name | TORRINGTON DENTAL CARE PC
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 333 KENNEDY DR SUITE L105
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City | TORRINGTON
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State | CT
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Zip | 06790-3060
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Country | US
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Telephone | 860-489-8940
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Fax | 860-489-4346
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Provider Business Mailing Address
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Address Line | 333 KENNEDY DR SUITE L105
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City | TORRINGTON
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State | CT
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Zip | 06790-3060
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Country | US
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Telephone | 860-489-8940
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Fax | 860-489-4346
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Authorized Official
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Title or Position | VP & SEC
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Name | FRANK L KUZMIN
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Credential | DMD
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Telephone | 860-489-8940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 8102
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 4411
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License Number State | CT
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