Organization
MY ENFIELD DENTIST, LLC
Active
Other names
Essel Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAKESH KUMAR DDS (MANAGER)
(860) 254-6955
Entity
Organization
Contact information
Practice address
44 S MAIN ST STE 14, EAST WINDSOR, CT 06088-1702
(860) 254-6955
(860) 254-6956
Mailing address
44 S MAIN ST STE 14, EAST WINDSOR, CT 06088-1702
(860) 254-6955
(860) 254-6956
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
010189
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008017210
—
CT
Enumeration date
05/27/2010
Last updated
07/30/2020
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