Individual
DR. KANDASAMY RENGASAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
263 FARMINGTON AVENUE, UCONN SCHOOL OF DENTAL MEDICINE, FARMINGTON, CT 06030-2105
(860) 679-2476
Mailing address
263 FARMINGTON AVENUE, UCONN SCHOOL OF DENTAL MEDICINE, FARMINGTON, CT 06030-2105
(860) 679-2207
(860) 679-1899
Taxonomy
Speciality
Code
Description
License number
State
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
010435
CT
Other
Enumeration date
06/01/2007
Last updated
05/12/2021
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