Individual
MADHUR UPADHYAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BDS, MDS
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-2000
Mailing address
9 BOGART LANE, NEWINGTON, CT 06111-2919
(860) 335-4517
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
010366
CT
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12384
CT
Other
Enumeration date
07/01/2008
Last updated
04/23/2021
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