Individual
KIRAN PERVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
188 CHASE AVE, WATERBURY, CT 06704-2245
(203) 754-3818
Mailing address
122 E CARPENTER ST, VALLEY STREAM, NY 11580-4420
(502) 919-3115
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14538
CT
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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