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MRS. SULAKSHANA SUNDARESAN DDS

Dental Public Health >> Dentist >> Dental Providers

Registrant NPI Number: 1518117589

Individual Registrant:
MRS. SULAKSHANA  SUNDARESAN DDS
Gender: F
Not Sole Proprietor

Location and contact information for practice:
60 CHURCH STREET  YALESVILLE, CT 06492 US
Tel: 203-774-0019  Fax: 203-774-0034

Contact information for business:
60 CHURCH STREET  YALESVILLE, CT 06492 US
Tel: 203-774-0019  Fax: 203-774-0034

Registration Information:
NPI: 1518117589
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N1223D0001XDental Providers
Dentist
Dental Public Health
CT9656
Y1223G0001XDental Providers
Dentist
CT9656

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
MCD008001178CT05




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