Organization
ELMWOOD DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAYAKI GADDIPATI DMD (OWNER/DENTIST)
(214) 336-9767
Entity
Organization
Contact information
Practice address
1132 NEW BRITAIN AVE, WEST HARTFORD, CT 06110-2413
(833) 432-1457
Mailing address
1132 NEW BRITAIN AVE, WEST HARTFORD, CT 06110-2413
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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