Individual
MARSHALL D KURTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
129 PARK AVE, DANBURY, CT 06810-7504
(203) 790-0183
Mailing address
129 PARK AVE, DANBURY, CT 06810-7504
(203) 790-0183
(203) 743-7401
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9291
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002092914
—
CT
Enumeration date
12/27/2005
Last updated
01/17/2017
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