Individual
RICHARD STEWART KIRSCHBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
26 EAST GRANBY RD., GRANBY, CT 06035-0450
(860) 653-7596
(860) 653-9536
Mailing address
147 SILKEY RD, NORTH GRANBY, CT 06060-1420
(860) 653-3428
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5548
CT
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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