Individual
PRANAV KATARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-6000
(860) 679-2000
Mailing address
32 BONNIE DR, FARMINGTON, CT 06032-3023
(713) 505-2939
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
103936
CA
122300000X
Dentist
35694
TX
390200000X
Student in an Organized Health Care Education/Training Program
Primary
14070
CT
Other
Enumeration date
07/09/2019
Last updated
06/05/2024
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