Individual
PING GE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
5 S MAIN ST STE 501, BRANFORD, CT 06405-3845
(626) 644-3351
(203) 488-4136
Mailing address
5 S MAIN ST STE 501, BRANFORD, CT 06405-3845
(626) 644-3351
(203) 488-4136
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
009917
CT
1223P0221X
Pediatric Dentistry
009917
CT
Other
Enumeration date
04/14/2009
Last updated
05/01/2022
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