Individual
DR. BHAVESH G LADUMOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1192 FARMINGTON AVE, BRISTOL, CT 06010-4752
(860) 585-9000
Mailing address
299 COLT HIGHWAY APT #237, FARMINGTON, CT 06032
(786) 300-2686
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11668
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/16/2016
Last updated
08/20/2016
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