Organization
PEARL DENTAL OF TRUMBULL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAVEETA CHANNAMSETTY DDS (OWNER)
(203) 372-3626
Entity
Organization
Contact information
Practice address
140 MONROE TPKE UNIT C, TRUMBULL, CT 06611-1357
(203) 372-3626
(203) 880-5182
Mailing address
140 MONROE TPKE UNIT C, TRUMBULL, CT 06611-1357
(203) 372-3626
(203) 880-5182
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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