Individual
DR. KENNETH ROBERT CAPOZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2 SUMMIT RD, PROSPECT, CT 06712
(203) 758-4224
(203) 758-6399
Mailing address
PO BOX 7021, PROSPECT, CT 06712
(203) 758-4224
(203) 758-6399
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8439CT
CT
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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