Individual
DR. AYESHA EJAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2 CONCORDE WAY BLDG 1, WINDSOR LOCKS, CT 06096-1577
(860) 623-3244
Mailing address
2 CONCORDE WAY, WINDSOR LOCKS, CT 06096-1576
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI03131000
NJ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CT
Other
Enumeration date
05/10/2021
Last updated
03/10/2026
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