Organization
KASIMER KOWALSKI DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD SEBASTIAN GORACY (PRESIDENT)
(860) 289-4848
Entity
Organization
Contact information
Practice address
477 CONNECTICUT BLVD STE 106, EAST HARTFORD, CT 06108-3228
(860) 289-4848
(860) 289-3798
Mailing address
477 CONNECTICUT BLVD STE 106, EAST HARTFORD, CT 06108-3228
(860) 289-4848
(860) 289-3798
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4001
CT
Other
Enumeration date
07/13/2006
Last updated
08/22/2020
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