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Individual

DR. JAYASANKER VIAYAN VALIYAPARAMBIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
8 PUMPKIN PATCH RD, WOODBRIDGE, CT 06525-2523
(860) 331-3743
Mailing address
8 PUMPKIN PATCH RD, WOODBRIDGE, CT 06525
(860) 331-3743

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
011000
CT

Other

Enumeration date
07/12/2013
Last updated
03/21/2014
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