Individual
HIMABINDU ILLINDALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
164 HUNTERS LN, NEWINGTON, CT 06111-4542
(551) 580-0916
Mailing address
164 HUNTERS LN, NEWINGTON, CT 06111-4542
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
009972
CT
Other
Enumeration date
07/11/2008
Last updated
02/10/2009
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