Provider Demographics
NPI:1619379518
Name:KARBOWSKI, ANNA MARIE
Entity Type:Individual
Prefix:MS
First Name:ANNA
Middle Name:MARIE
Last Name:KARBOWSKI
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 1:3 ROMA DR
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06032-2158
Mailing Address - Country:US
Mailing Address - Phone:860-677-2136
Mailing Address - Fax:
Practice Address - Street 1:3 ROMA DR
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06032-2158
Practice Address - Country:US
Practice Address - Phone:860-677-2136
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-23
Last Update Date:2014-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003545124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist