Individual
VLADISLAV KIVELIYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
112 CROSS RD, WATERFORD, CT 06385-1204
(860) 913-4136
Mailing address
285 QUEEN ST UNIT 11J, SOUTHINGTON, CT 06489-1903
(860) 913-4136
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13708
CT
Other
Enumeration date
03/30/2022
Last updated
09/18/2023
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