Individual
DR. THOMAS CHRISTIAN KIEBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3043 MAIN ST, PUTNAM BRIDGE PLAZA (SUITE A), GLASTONBURY, CT 06033-1029
(860) 657-9212
Mailing address
1170 BOULEVARD, WEST HARTFORD, CT 06119-1721
(225) 281-7985
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2.011047
CT
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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