Individual
GRACE A NAKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
141 HEBRON AVE, GLASTONBURY, CT 06033-4200
(860) 633-5467
(860) 652-9318
Mailing address
141 HEBRON AVE, GLASTONBURY, CT 06033-4200
(860) 633-5467
(860) 652-9318
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7620
CT
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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