Individual
DR. GARGI BHAGAVATULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
123 YORK ST STE 4L, NEW HAVEN, CT 06511-5665
(203) 781-8051
Mailing address
630 CHAPEL ST APT 546, NEW HAVEN, CT 06510-3163
(402) 213-6077
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1001031
WI
1223G0001X
General Practice Dentistry
Primary
13593
CT
Other
Enumeration date
05/18/2015
Last updated
05/29/2025
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