Individual
DR. KIM MARIE WASKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
140 WILLOW ST, STE 2, WINSTED, CT 06098
(860) 379-4809
(860) 379-4270
Mailing address
140 WILLOW ST, STE 2, WINSTED, CT 06098
(860) 379-4809
(860) 379-4270
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
008360
CT
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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