Individual
SAMIR DENGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
56 FRANKLIN ST, WATERBURY, CT 06706-1253
(214) 226-3758
Mailing address
3600 BINKLEY AVE, DALLAS, TX 75205-2136
(214) 226-3758
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
64031
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2016
Last updated
08/09/2019
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