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Organization
EAST LYME ORAL AND MAXILLOFACIAL SURGERY
Active
Organization
EAST LYME ORAL AND MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRK FRED ENGEL DMD (MEMBER AND OWNER)
(860) 739-3133
Entity
Organization
Contact information
Practice address
314 FLANDERS RD, SUITE 1B, EAST LYME, CT 06333-1727
(860) 739-3133
(860) 739-3131
Mailing address
314 FLANDERS RD, SUITE 1B, EAST LYME, CT 06333-1727
(860) 739-3133
(860) 739-3131
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
007384
CT
Other
Enumeration date
11/08/2006
Last updated
08/25/2007
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