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1225102007
KENNETH JAMES WACHUK
MILFORD, CT
NPI
1225102007
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CT 4607)
Enumeration Date
2006-11-20
Last Update Date
2007-07-08
Business Address
Dr. KENNETH JAMES WACHUK D.D.S.
185 BROAD ST SUITE C
MILFORD, CT 06460-4763
Phone number: 203-878-1173
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Mailing Address
Dr. KENNETH JAMES WACHUK D.D.S.
185 BROAD ST SUITE C
MILFORD, CT 06460-4763
Phone number: 203-878-1173
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