Individual
PRAZWALA CHIRRAVUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BDS, MS
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-6110
(860) 679-2925
(860) 679-4760
Mailing address
28 NOTTINGHAM BLVD, UNIONVILLE, CT 06085-1185
(832) 331-2256
Taxonomy
Speciality
Code
Description
License number
State
125Q00000X
Oral Medicine Dentistry
Primary
13584
CT
Other
Enumeration date
03/25/2019
Last updated
10/11/2022
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