Organization
KIDS DENTAL CARE ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALEH AKBAR (MANAGER)
(860) 584-0441
Entity
Organization
Contact information
Practice address
733 TERRYVILLE AVE, BRISTOL, CT 06010-4034
(860) 584-0441
Mailing address
PO BOX 41, MUNCIE, IN 47308-0041
(765) 284-0493
(765) 284-2434
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
039079
CT
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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