Individual
ELLIOT HAROLD KIMMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS,MS
Contact information
Practice address
27 BROAD ST, NEW LONDON, CT 06320-5973
(860) 447-1714
Mailing address
27 BROAD ST, NEW LONDON, CT 06320-5973
(860) 447-1714
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5842CT
CT
Other
Enumeration date
03/19/2013
Last updated
03/19/2013
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