Individual
PALLAVI MATHUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-2000
Mailing address
8 TALCOTT FOREST RD APT E, FARMINGTON, CT 06032-3548
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
13875
CT
Other
Enumeration date
07/19/2023
Last updated
07/26/2023
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