Individual
DR. ANUSHA ATIQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1192 FARMINGTON AVE UNIT D, BRISTOL, CT 06010-4752
(860) 901-1272
Mailing address
122 TOWER RD, BROOKFIELD, CT 06804-3653
(475) 529-5893
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14092
CT
Other
Enumeration date
06/05/2024
Last updated
06/10/2024
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