Individual
DR. SPRETHA KADAVATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
50 GRAND AVE, NEW HAVEN, CT 06513
(203) 777-7411
Mailing address
578 WESTPORT TPKE, FAIRFIELD, CT 06824-1670
(973) 641-6595
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11700
CT
122300000X
Dentist
22DI02497200
NJ
122300000X
Dentist
DN1856427
MA
122300000X
Dentist
DS039775
PA
Other
Enumeration date
11/19/2013
Last updated
10/17/2016
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