Individual
MEHERANA VESALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
531 ELM ST, NEW HAVEN, CT 06511-4549
(203) 764-2752
Mailing address
1090 NORTHCHASE PKWY SE STE 290, MARIETTA, GA 30067-6402
(770) 916-5352
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11189
CT
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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