Ct Dental LLC
NPI #1881987964 in Waterbury, Connecticut
Provider Information
- NPI Number
- 1881987964
- Entity Type
- Organization
- Organization Name
- Ct Dental LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 23, 2011
- Last Updated
- Jan 7, 2015
Practice Location
- Address
- 171 GRANDVIEW AVE
- Address 2
- SUITE 103
- City
- Waterbury
- State
- Connecticut
- ZIP Code
- 06708-2517
- Phone
- (203) 574-2725
Authorized Official
- Name
- DR. TULASI N VIKRAM, DDS
- Title
- OWNER
- Phone
- (203) 574-2725
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
| Dentist - Endodontics — Endodontics |
| Dentist - General Practice — General Practice |
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