Individual
DR. PRADIPTA MAZUMDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
011110
CT
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
5990
NV
Other
Enumeration date
07/19/2012
Last updated
05/01/2015
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