Individual
ZACHARY F KORWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4949 MAIN ST, STRATFORD, CT 06614-1613
(848) 459-2584
Mailing address
15 AMADEO DR, BETHANY, CT 06524-3186
(848) 459-2584
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
11274
CT
122300000X
Dentist
Primary
22DI02570400
NJ
1223G0001X
General Practice Dentistry
DS040012
PA
Other
Enumeration date
06/12/2014
Last updated
05/25/2024
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