Individual
SHASHIKALA GHODAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
547 MAIN STREET, MIDDLETOWN, CT 06457-2806
(860) 346-3081
(860) 638-1123
Mailing address
547 MAIN STREET, MIDDLETOWN, CT 06457-2806
(860) 346-3081
(860) 638-1123
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9306
CT
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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