Individual
DR. FLAVIA GOMES VELASQUE GAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
263 FARMINGTON AVENUE, FARMINGTON, CT 06053
(860) 679-2207
(860) 679-1363
Mailing address
1248 FARMINGTON AVE APT C14, WEST HARTFORD, CT 06107-2624
(617) 369-2816
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
13093
CT
Other
Enumeration date
01/10/2021
Last updated
07/23/2021
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