Individual
SMRUTI DESHPANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
105 MYRTLE ST, NEW BRITAIN, CT 06051-1859
(860) 356-0057
Mailing address
58 BURGUNDY HILL LN, MIDDLETOWN, CT 06457-6335
(781) 366-6469
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11424
CT
Other
Enumeration date
06/19/2015
Last updated
08/10/2015
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