Individual
DR. MAYA PAULOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
72 FLAHERTY ROAD, STORRS MANSFIELD, CT 06268-2353
(860) 429-0230
(860) 429-6158
Mailing address
72 FLAHERTY RD, STORRS MANSFIELD, CT 06268-2353
(860) 429-0230
(860) 429-6158
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7901
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002079011
—
CT
Enumeration date
07/18/2006
Last updated
01/14/2013
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