Individual
KINNARI DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
991 STATE ST, NEW HAVEN, CT 06511-3993
(203) 787-3669
Mailing address
32 APPLEWOOD DR, SHELTON, CT 06484-2042
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
010032
CT
Other
Enumeration date
11/27/2007
Last updated
03/26/2013
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