Individual
DR. SHARI MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
99 E CENTER ST, MANCHESTER, CT 06040
(860) 646-1360
Mailing address
171 PAXTON WAY, GLASTONBURY, CT 06033-3381
(860) 646-1360
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
009298
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002092980
—
CT
Enumeration date
07/05/2005
Last updated
12/17/2019
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