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Contact Information

DR MANDAVA DDS FAMILY DENTISTRY PC
415 MIDDLEBURY RD
MIDDLEBURY, CT06762-2537
 Phone: 203-758-2116
 Fax: 203-758-9522
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for DR MANDAVA DDS FAMILY DENTISTRY PC · (Female)

NPI Number 1366868697
Status Active
Credentials
Entity Individual
Enumeration date 03/11/2014
Last updated 03/11/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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