Individual
DR. AVANTHI TIRUVADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1700 POST RD STE A, FAIRFIELD, CT 06824-5795
(203) 259-1170
Mailing address
1700 POST RD STE A, FAIRFIELD, CT 06824-5795
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11841
CT
Other
Enumeration date
06/28/2017
Last updated
03/17/2018
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