Individual
DR. KENNETH MICHAEL PATRICIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
583 SAYBROOK RD, MIDDLETOWN, CT 06457
(860) 346-6060
(860) 346-3999
Mailing address
583 SAYBROOK RD, 2ND FLOOR, MIDDLETOWN, CT 06457
(860) 346-6060
(860) 346-3999
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
005595
CT
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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