Individual
DR. MARYAM AZADPUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
381 HOPMEADOW ST, SUITE 202, SIMSBURY, CT 06089-9692
(860) 658-7548
(860) 658-7516
Mailing address
381 HOPMEADOW ST, SUITE 202, SIMSBURY, CT 06089-9692
(860) 658-7548
(860) 658-7516
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
007907
CT
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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