Individual
VIPASHA DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
258 S FRONTAGE RD, NEW LONDON, CT 06320-2641
(860) 347-3485
Mailing address
33 HORIZON HILL RD, NEWINGTON, CT 06111-5115
(860) 371-5885
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
010778
CT
1223G0001X
General Practice Dentistry
010778
CT
Other
Enumeration date
06/28/2012
Last updated
05/20/2013
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