Individual
DR. SHIVANI C SUVARNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BDS, MSD
Contact information
Practice address
263 FARMINGTON AVE DEPT OF RECONSTRUCTIVE SCIENCES, L7045, FARMINGTON, CT 06030-0001
(860) 679-2649
Mailing address
82 BRITTANY FARMS RD # J237, NEW BRITAIN, CT 06053-1267
(206) 612-5764
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE61086406
WA
1223P0700X
Prosthodontics
Primary
13280
CT
1223P0700X
Prosthodontics
DE61086406
WA
Other
Enumeration date
09/28/2021
Last updated
10/20/2021
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