Organization
KP DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT THOMAS KOZLAK DMD (OWNER)
(860) 307-4193
Entity
Organization
Contact information
Practice address
10 HINSDALE AVE, WINSTED, CT 06098-1133
(860) 379-4382
Mailing address
3 SWEETHEART MOUNTAIN RD, COLLINSVILLE, CT 06019-3425
(860) 307-4193
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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