Individual
ANSHUL MAINKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030
(860) 679-2000
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
12090
CT
390200000X
Student in an Organized Health Care Education/Training Program
12040
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/15/2016
Last updated
09/02/2021
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