Individual
RAMY SHAKER WISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
246 FEDERAL RD STE B11, BROOKFIELD, CT 06804-2651
(203) 790-0111
Mailing address
246 FEDERAL RD STE B11, BROOKFIELD, CT 06804-2651
(203) 790-0111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14808
CT
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/11/2023
Last updated
06/17/2026
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