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Individual

DR. ANSHU S KUMAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1581 MAIN ST, WILLIMANTIC, CT 06226-1129
(860) 456-3214
Mailing address
1581 MAIN ST, WILLIMANTIC, CT 06226-1129

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10095
CT
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004011136
CT
Enumeration date
05/29/2008
Last updated
01/13/2012
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