Individual
DR. TULASI N VIKRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
171 GRANDVIEW AVE, SUITE 103, WATERBURY, CT 06708-2517
(203) 574-2725
Mailing address
40 ROLLING HILLS DR, OXFORD, CT 06478-6140
(603) 943-4271
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
010282
CT
Other
Enumeration date
07/20/2010
Last updated
10/14/2014
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