Individual
DR. PRADEEPA PADMANABHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-2000
Mailing address
173 FOXBORO DR, NEWINGTON, CT 06111-4577
(860) 436-2754
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
10637
CT
Other
Enumeration date
06/11/2008
Last updated
01/16/2013
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