Individual
ALI KHAYYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
675 MAIN STREET, MIDDLETOWN, CT 06457
(860) 347-6971
Mailing address
111 ASPEN GLEN DR, HAMDEN, CT 06518-3786
(703) 300-6503
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11686
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004011136
—
CT
Enumeration date
06/18/2015
Last updated
01/26/2017
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