Individual
JOHN KANCA III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
390 MIDDLEBURY RD, MIDDLEBURY, CT 06762-2634
(203) 758-8059
(203) 758-8583
Mailing address
390 MIDDLEBURY RD, MIDDLEBURY, CT 06762-2634
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5505
CT
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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