Individual
NITHYA CHALIKONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 WELLINGTON DR, FAIRFIELD, CT 06824-1952
(267) 218-5427
Mailing address
425 WELLINGTON DR, FAIRFIELD, CT 06824-1952
(267) 218-5427
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12254
CT
Other
Enumeration date
04/24/2013
Last updated
04/01/2024
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