Individual
SHAIFALI GROVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-2000
Mailing address
88 BRITTANY FARMS RD, APT J103, NEW BRITAIN, CT 06053-1268
(732) 357-6858
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11172
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/13/2010
Last updated
03/12/2020
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