Individual
DR. RAJIV GOKUL BHANWATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
9 AVONWOOD RD, BUILDING B, AVON, CT 06001-2072
(860) 284-4411
(860) 679-9389
Mailing address
9 AVONWOOD RD, BUILDING B, AVON, CT 06001-2072
(860) 284-4411
(860) 679-9389
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
010436
CT
Other
Enumeration date
06/22/2010
Last updated
07/13/2011
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