Provider Information for 1518350479
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KATHERINE FLEMING DDS
Sex: Female
NPI: 1518350479
Last Updated: 2021-05-10
Certification Date: 2021-05-10
Certification Date: 2021-05-10
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1518350479 | ||||||||||||||
| Enumeration Date | 2015-03-16 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | NO | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 263 FARMINGTON AVE FARMINGTON, CT 06032-1956 United States Phone: 860-679-2207 | Fax:860-679-1363 | ||||||||||||||
| Primary Practice Address | 263 FARMINGTON AVE FARMINGTON, CT 06032-1956 United States Phone: 860-679-2207 | Fax:860-679-2207 | ||||||||||||||
| Secondary Practice Address(es) | 3711 QUEENS BLVD 722 W 168TH ST 1130 MAXWELL LN | ||||||||||||||
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