Individual
DR. MITRA Y. KABAKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
101 MAIN ST, UNIONVILLE, CT 06085-1131
(860) 673-3900
(860) 673-0038
Mailing address
101 MAIN ST, UNIONVILLE, CT 06085-1131
(860) 673-3900
(860) 673-0038
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
9543
CT
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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