Individual
KAINAT NAEEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
70 PEASE AVE, SOUTHPORT, CT 06890-1110
(203) 870-5655
Mailing address
70 PEASE AVE, SOUTHPORT, CT 06890-1110
(203) 870-5655
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1858847
MA
Other
Enumeration date
10/04/2020
Last updated
10/04/2020
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