Individual
MAYANK CHALIAWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
35 TALCOTTVILLE RD STE 21, VERNON, CT 06066-5261
(860) 896-9000
Mailing address
1100 HARTFORD TPKE APT 593, VERNON, CT 06066-9405
(201) 850-3567
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11651
CT
1223G0001X
General Practice Dentistry
2.011651
CT
Other
Enumeration date
06/24/2016
Last updated
06/04/2021
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