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Individual

AYESHA SHAHZAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
315 WHITNEY AVE, NEW HAVEN, CT 06511-3715
(203) 776-8556
(203) 776-1475
Mailing address
100 STONE RIDGE WAY, #2E, FAIRFIELD, CT 06824-5386
(203) 345-1192

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
010757
CT

Other

Enumeration date
06/14/2011
Last updated
12/14/2012
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