Individual
DR. KENNETH C. CHILDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
25 BONNER ST, STAMFORD, CT 06902-6609
(203) 357-8168
(203) 357-0884
Mailing address
25 BONNER ST, STAMFORD, CT 06902-6609
(203) 357-8168
(203) 357-0884
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
003233
CT
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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