Individual
DR. PRITIZA KHADKA SUBEDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
112 SOUNDVIEW AVE, FAIRFIELD, CT 06825-7435
(203) 260-1929
Mailing address
112 SOUNDVIEW AVENUE, FAIRFIELD, CT 06825
(203) 260-1929
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11430
CT
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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