Organization
KEVIN O'CONNELL DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN O'CONNELL DDS (DENTIST, OWNER)
(860) 669-5756
Entity
Organization
Contact information
Practice address
149 E MAIN ST STE 4, CLINTON, CT 06413-2103
(860) 669-5756
(860) 664-3937
Mailing address
149 E MAIN ST STE 4, CLINTON, CT 06413-2103
(860) 669-5756
(860) 664-3937
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9186
CT
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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