Individual
MEHRAN MASSOUMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
80 SHUNPIKE RD UNIT 201, CROMWELL, CT 06416-4402
(860) 635-4666
(860) 635-3621
Mailing address
80 SHUNPIKE RD UNIT 201, CROMWELL, CT 06416-4402
(860) 635-4666
(860) 635-3621
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8806
CT
Other
Enumeration date
03/20/2007
Last updated
09/22/2025
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