Individual
DR. ELNAZ JALALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSC, DDS
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-2000
Mailing address
221 TRUMBULL ST, 3304, HARTFORD, CT 06103-1500
(860) 904-6728
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/28/2012
Last updated
09/28/2012
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