Organization
KENNETH R. CAPOZZI DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH CAPOZZI DDS (OWNER)
(203) 758-4224
Entity
Organization
Contact information
Practice address
158 WATERBURY RD, PROSPECT, CT 06712-1229
(203) 758-4224
Mailing address
158 WATERBURY RD, PROSPECT, CT 06712-1229
(203) 758-4224
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8439CT
CT
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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