Individual
NOURHAN ELKHATIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
721 NORWICH RD, PLAINFIELD, CT 06374-1734
(860) 546-4222
Mailing address
721 NORWICH RD, PLAINFIELD, CT 06374-1734
(857) 354-9202
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13814
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2023
Last updated
06/18/2023
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