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Individual

DR. DARRYL AUSTIN SIMMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
599 MAIN ST, MANCHESTER, CT 06040-5156
(860) 647-7663
Mailing address
599 MAIN ST, MANCHESTER, CT 06040-5156
(860) 647-7663

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
8351
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8351
STATE LICENSE #
CT
Enumeration date
11/08/2006
Last updated
07/08/2007
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