Organization
MITRA KABAKOFF D.D.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITRA KABAKOFF DDS (OWNER)
(917) 312-4744
Entity
Organization
Contact information
Practice address
231 FARMINGTON AVE STE 302, FARMINGTON, CT 06032-1915
(860) 269-0949
Mailing address
231 FARMINGTON AVE STE 302, FARMINGTON, CT 06032-1915
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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