Individual
DR. ADRIAN V. BASU
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
190 CORAM AVE, SHELTON, CT 06484-3347
(203) 924-4115
(203) 924-1301
Mailing address
461 ORANGE CENTER RD, ORANGE, CT 06477-2952
(203) 298-9401
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
008548
CT
Other
Enumeration date
05/04/2006
Last updated
07/08/2007
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