Individual
DR. KENNETH SPENCER CARLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
248 E MAIN ST, CLINTON, CT 06413-2230
(860) 669-1616
(860) 669-4525
Mailing address
248 EAST MAIN ST, CLINTON, CT 06413
(860) 669-1616
(860) 669-4525
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
005609
CT
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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