Individual
HIMMAT BAJWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
587 ELM ST, STAMFORD, CT 06902-5113
(203) 969-0802
(203) 326-2990
Mailing address
635 MAIN ST, ATTN: CREDENTIALING DEPARTMENT, MIDDLETOWN, CT 06457-2718
(860) 347-6971
(860) 638-6601
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
009628
CT
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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