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Organization
KEVIN M. BARAJAS DDS, P.C.
Active
Organization
KEVIN M. BARAJAS DDS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KEVIN MICHAEL BARAJAS DDS (OWNDER)
(619) 495-9444
Entity
Organization
Contact information
Practice address
140 SHERMAN ST. W, #3A, FAIRFIELD, CT 06824
(203) 254-9533
Mailing address
140 SHERMAN ST. W, #3A, FAIRFIELD, CT 06824
(203) 254-9533
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124293196
GENERAL DENTIST
CT
Enumeration date
06/19/2024
Last updated
06/19/2024
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