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Individual

SHEELA TUMMALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
165 MILLER ST, 2ND FLOOR, MERIDEN, CT 06450-4256
(203) 639-3500
(203) 639-3509
Mailing address
635 MAIN ST, ATTN: CREDENTIALING DPT, MIDDLETOWN, CT 06457-2718
(860) 347-6971
(860) 638-6601

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
009394
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004236354
CT
Enumeration date
08/11/2005
Last updated
08/09/2011
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