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Individual

DR. UKTI GOHEL PHADNIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
55 TOWN LINE RD STE 100, WETHERSFIELD, CT 06109-4317
(860) 400-3007
(860) 380-1411
Mailing address
55 TOWN LINE RD STE 100, WETHERSFIELD, CT 06109-4317
(860) 400-3007
(860) 380-1411

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
010633
CT

Other

Enumeration date
11/29/2011
Last updated
12/08/2016
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