Individual
MANOJA R KANCHUMARTHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
123 FARMINGTON AVE STE P2, BRISTOL, CT 06010-4200
(860) 845-8872
Mailing address
123 FARMINGTON AVE STE P2, BRISTOL, CT 06010-4200
(860) 845-8872
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14526
CT
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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