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Contact Information

SULAKSHANA SUNDARESAN, DDS
60 CHURCH STREET
YALESVILLE, CT06492
 Phone: 203-774-0019
 Fax: 203-774-0034
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for SULAKSHANA SUNDARESAN · (Female)

NPI Number 1518117589
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 09/25/2008
Last updated 09/24/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 9656
  • CT Medicaid MCD008001178
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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