Individual
AKASHA SAMMI IMTIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1888 MAIN ST STE 7, HARTFORD, CT 06120-2357
(860) 768-9052
Mailing address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-6100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2.014801
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/14/2023
Last updated
06/08/2026
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