Individual
NAYAKI GADDIPATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
1200 PARK ST, #C, HARTFORD, CT 06106-2259
(214) 336-9767
(214) 336-9767
Mailing address
1200 PARK ST, #C, HARTFORD, CT 06106-2259
(214) 336-9767
(214) 336-9767
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
21848
MA
1223G0001X
General Practice Dentistry
Primary
010397
CT
Other
Enumeration date
07/26/2007
Last updated
05/20/2019
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