Individual
PADMA MUKHERJEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.D.S.
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-4471
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9897
CT
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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