Individual
DR. STEVEN K KOUSOURNAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
567 BURNSIDE AVENUE, EAST HARTFORD, CT 06108-3533
(860) 291-9676
(860) 289-2580
Mailing address
567 BURNSIDE AVENUE, EAST HARTFORD, CT 06108-3533
(860) 291-9676
(860) 289-2580
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7109
CT
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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