Organization
KEVIN M. BARAJAS DDS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KEVIN MICHAEL BARAJAS DDS (OWNDER)
(619) 495-9444
Entity
Organization
Contact information
Practice address
140 SHERMAN ST. W, #3A, FAIRFIELD, CT 06824
(203) 254-9533
Mailing address
140 SHERMAN ST. W, #3A, FAIRFIELD, CT 06824
(203) 254-9533
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124293196
GENERAL DENTIST
CT
Enumeration date
06/19/2024
Last updated
06/19/2024
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