Provider Demographics
NPI:1205842812
Name:MIZUKOVSKI FINKEL, KATHERINE (DDS)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:
Last Name:MIZUKOVSKI FINKEL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1979 POST RD
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06824-5723
Mailing Address - Country:US
Mailing Address - Phone:203-255-2841
Mailing Address - Fax:203-255-2844
Practice Address - Street 1:1191 POST RD
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06824-6007
Practice Address - Country:US
Practice Address - Phone:203-255-2841
Practice Address - Fax:203-255-2844
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT82631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice