Individual
NATASHA K FANSIWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
80 GROVE ST, RIDGEFIELD, CT 06877-4104
(203) 431-4344
Mailing address
101 WASHINGTON ST UNIT 205, NORWALK, CT 06854-3078
(518) 879-9621
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
04854
NH
1223G0001X
General Practice Dentistry
Primary
14321
CT
Other
Enumeration date
07/07/2023
Last updated
05/01/2025
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