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Individual

DR. ELIAS MIKAEL CHATAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06032-1941
(860) 679-3318
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06032-1941

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12361
CT
122300000X
Dentist
FDN8
ME

Other

Enumeration date
03/06/2013
Last updated
12/03/2018
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