Individual
SHAAF REZAEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
270 BURNSIDE AVE, EAST HARTFORD, CT 06108-2315
(860) 289-9558
Mailing address
576 FARMINGTON AVE, HARTFORD, CT 06105-3015
(860) 232-9002
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14126
CT
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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