Individual
MAHSA SAFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 TECHNOLOGY DR UNIT C203, TRUMBULL, CT 06611-6347
(203) 261-8674
Mailing address
115 TECHNOLOGY DR UNIT C203, TRUMBULL, CT 06611-6347
(203) 261-8674
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
112507
CA
1223G0001X
General Practice Dentistry
Primary
14470
CT
Other
Enumeration date
01/10/2024
Last updated
02/10/2026
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