Individual
DR. MASHID HEDAYATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1315 MAIN ST, WILLIMANTIC, CT 06226-1948
(860) 450-7471
(860) 423-4629
Mailing address
1315 MAIN ST, WILLIMANTIC, CT 06226-1948
(860) 450-7471
(860) 423-4629
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
008073
CT
1223G0001X
General Practice Dentistry
008073
CT
Other
Enumeration date
12/05/2006
Last updated
07/11/2007
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