MITRA Y KABAKOFF DDS
Dentist


Address: 345 North Main St Suite 320, West Hartford, CT 06117

MITRA Y KABAKOFF DDS (Credential# 703995) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.

Business Overview

MITRA Y KABAKOFF DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.009543. The credential type is dentist. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 345 North Main St Suite 320, West Hartford, CT 06117. The current status is active.

Basic Information

Licensee Name MITRA Y KABAKOFF DDS
Credential ID 703995
Credential Number 2.009543
Credential Type Dentist
Business Address 345 North Main St Suite 320
West Hartford
CT 06117
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2005-12-13
Effective Date 2020-06-01
Expiration Date 2021-05-31
Refresh Date 2020-03-04

Other licenses

ID Credential Code Credential Type Issue Term Status
425289 CSP.0038683 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2006-01-03 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 345 NORTH MAIN ST SUITE 320
City WEST HARTFORD
State CT
Zip Code 06117

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David L Friar 35 Porter Dr, W Hartford, CT 06117 Architect 2020-08-01 ~ 2021-07-31
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Competitor

Search similar business entities

City WEST HARTFORD
Zip Code 06117
License Type Dentist
License Type + County Dentist + WEST HARTFORD

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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