Individual
LOHAN MORADIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
240 SPENCER ST, MANCHESTER, CT 06040-4618
(860) 645-8000
Mailing address
240 SPENCER ST, MANCHESTER, CT 06040-4618
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14445
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/23/2023
Last updated
06/24/2025
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