Individual
AZRA SALEEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
341 N COLONY ST, WALLINGFORD, CT 06492-3170
(203) 626-9565
(203) 626-9564
Mailing address
341 N COLONY ST, WALLINGFORD, CT 06492-3170
(203) 626-9565
(203) 626-9564
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
009906
CT
1223G0001X
General Practice Dentistry
Primary
009906
CT
Other
Enumeration date
07/14/2008
Last updated
05/22/2014
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