| Dr Mandava Dds Family Dentistry Pc | |
|
415 Middlebury Rd Middlebury CT 06762-2537 | |
| (203) 758-2116 | |
| (203) 758-9522 |
| Full Name | Dr Mandava Dds Family Dentistry Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 415 Middlebury Rd, Middlebury, Connecticut |
| Authorized Official Name and Position | Ratnakar R Mandava (PRESIDENT) |
| Authorized Official Contact | 2037582116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mandava Dds Family Dentistry Pc 415 Middlebury Rd Middlebury CT 06762-2537 Ph: (203) 758-2116 | Dr Mandava Dds Family Dentistry Pc 415 Middlebury Rd Middlebury CT 06762-2537 Ph: (203) 758-2116 |
| NPI Number | 1366868697 |
|---|---|
| Provider Enumeration Date | 03/11/2014 |
| Last Update Date | 03/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366868697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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