Individual
RAMEEN VAFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-4216
(860) 679-2000
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06032-1956
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS042818
PA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
13420
CT
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/29/2020
Last updated
11/16/2022
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