Individual
CARMEN PAMELA MALDONADO HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-2000
Mailing address
395 BRITTANY FARMS RD APT 305, NEW BRITAIN, CT 06053-1149
(860) 305-3532
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
14143
CT
Other
Enumeration date
06/18/2024
Last updated
09/11/2024
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