Individual
SUMIT YADAV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
263 FARMINGTON AVE, L 7063, FARMINGTON, CT 06030-1000
(860) 679-2664
(860) 679-1920
Mailing address
263 FARMINGTON AVE, MC3905, FARMINGTON, CT 06030-3905
(860) 679-2207
(860) 679-1899
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
010367
CT
Other
Enumeration date
10/16/2012
Last updated
12/19/2014
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