Organization · NPI-2

Elliot H Kimmel & Associates PC

Dentist · New London, CT

NPI number1831263862
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1831263862
Entity type
Organization (NPI-2)
Legal business name
Elliot H Kimmel & Associates PC
Organization subpart
No
Enumeration date
Nov 20, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist5842CTYes

Practice location

27 Broad Street
New London, CT 06320-5973

Phone 860-447-1714 · Fax 860-447-0363

Mailing address

27 Broad Street
New London, CT 06320-5973

Phone 860-447-1714 · Fax 860-447-0363

Authorized official

Elliot Harold Kimmel
President
8604471714

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