Individual
DR. KENNETH BARRY TEMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
40 E PUTNAM AVE, COS COB, CT 06807-2613
(203) 622-4243
Mailing address
40 E PUTNAM AVE, COS COB, CT 06807-2613
(203) 622-4243
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6451
CT
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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