Individual
SHRUTI RAJU DANDU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
96 E MAIN ST, NEW BRITAIN, CT 06051-1944
(512) 955-2972
Mailing address
52 NANEL DR APT D, GLASTONBURY, CT 06033-2263
(512) 955-2972
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12247
CT
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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