Individual
DR. AVNINDER UPADHYAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 ALBANY AVE, HARTFORD, CT 06120-2508
(860) 249-9625
Mailing address
500 ALBANY AVE, HARTFORD, CT 06120-2508
(860) 249-9625
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
010365
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008044083
—
CT
Enumeration date
09/29/2008
Last updated
03/17/2014
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