Individual
SUZANNA KIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
188 CHASE AVE, WATERBURY, CT 06704-2245
(203) 754-3818
Mailing address
188 CHASE AVE, WATERBURY, CT 06704-2245
(203) 754-3818
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11361
CT
Other
Enumeration date
03/06/2013
Last updated
03/26/2015
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