Individual
DR. ROBERT KARL KWOCHKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
239 NAUGATUCK AVE, MILFORD, CT 06460-5540
(203) 876-1838
(203) 876-0265
Mailing address
36 FEATHER LN, GUILFORD, CT 06437-4908
(203) 876-1838
(203) 876-0265
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
007826
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007826
CT STATE DENTAL LICENSE
CT
Enumeration date
01/17/2007
Last updated
07/08/2007
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