Individual
MAIA TSIRGHILADZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 937-3732
Mailing address
168 CENTRAL AVE, WEST HAVEN, CT 06516-6730
(646) 462-6096
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
055534-1
NY
Other
Enumeration date
05/24/2010
Last updated
03/07/2016
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