Individual
FAYE F MAMAGHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
945 MAIN ST, SUITE 302, MANCHESTER, CT 06040-6064
(860) 643-5350
(860) 646-5807
Mailing address
945 MAIN ST, SUITE 302, MANCHESTER, CT 06040-6064
(860) 643-5350
(860) 646-5807
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
008794
CT
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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