Individual
SHARON KURIAKOSE IYPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1100 POQUONNOCK RD, GROTON, CT 06340-4209
(860) 445-9765
Mailing address
60 MANSFIELD RD APT 227, NEW LONDON, CT 06320-3187
(732) 289-5427
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12489
CT
1223G0001X
General Practice Dentistry
34157
TX
Other
Enumeration date
06/10/2018
Last updated
01/17/2023
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