Individual
DR. PRADIPTA MAZUMDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
109 WATERTOWN AVE, WATERBURY, CT 06708-2623
(571) 594-6007
Mailing address
109 WATERTOWN AVE, WATERBURY, CT 06708-2623
(571) 594-6007
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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