Provider Demographics
NPI:1871763383
Name:KUCHARSKI, BEATA
Entity type:Individual
Prefix:MRS
First Name:BEATA
Middle Name:
Last Name:KUCHARSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 SUNRIDGE LN
Mailing Address - Street 2:
Mailing Address - City:CROMWELL
Mailing Address - State:CT
Mailing Address - Zip Code:06416-2506
Mailing Address - Country:US
Mailing Address - Phone:860-635-9420
Mailing Address - Fax:
Practice Address - Street 1:9 SUNRIDGE LN
Practice Address - Street 2:
Practice Address - City:CROMWELL
Practice Address - State:CT
Practice Address - Zip Code:06416-2506
Practice Address - Country:US
Practice Address - Phone:860-635-9420
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-11
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes126800000XDental ProvidersDental Assistant