Individual
ADELINA M DAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
296 COUNTRY CLUB RD, BLDG A, AVON, CT 06001-2546
(860) 365-9021
Mailing address
296 COUNTRY CLUB RD, BLDG A, AVON, CT 06001-2546
(860) 365-9021
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
10680
CT
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DN1855898
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008036969
—
CT
05
—
110091454A
—
MA
Enumeration date
02/07/2012
Last updated
09/19/2014
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