Dr Mandava DDS Family Dentistry PC

NPI #1366868697 in Middlebury, Connecticut

Provider Information

NPI Number: 1366868697
Entity Type: Organization
Organization Name: Dr Mandava DDS Family Dentistry PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 11, 2014
Last Updated: Mar 11, 2014

Practice Location

Address: 415 MIDDLEBURY RD
City: Middlebury
State: Connecticut
ZIP Code: 06762-2537
Phone: (203) 758-2116

Authorized Official

Name: DR. RATNAKAR R MANDAVA, DDS
Title: PRESIDENT
Phone: (203) 758-2116

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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