Individual
NIRALI MERCHANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
144 BOSTON AVE, BRIDGEPORT, CT 06610-1604
(203) 583-3083
Mailing address
10 AMSTERDAM AVE, APT 705, NEW YORK, NY 10023-7464
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11263
CT
Other
Enumeration date
08/08/2014
Last updated
09/27/2014
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