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Dr. Meenakshi Madhu I, DDS
Student in an Organized Health Care Education/Training Program in Stamford, Connecticut
NPI 1316268204

Meenakshi Madhu I is a Student in an Organized Health Care Education/Training Program based in Stamford, CT. Meenakshi Madhu I practices in Stamford, CT and has the professional credentials of DDS. The NPI Number for Meenakshi Madhu I is 1316268204 and holds a License No. 057051 (Connecticut).

The current practice location address for Meenakshi Madhu I is 35 W Broad St, Stamford, CT and can be reached out via phone at 203-559-5119.

Location: 35 W Broad St, Stamford, CT, 06902-3766
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316268204
Provider Name
Meenakshi Madhu I
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
35 W Broad St, Stamford, CT, 06902-3766
Phone Number
203-559-5119
Fax Number
Provider Enumeration Date
06/15/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
35 W Broad St
City
Stamford
State
Connecticut
Zip
06902-3766
Phone Number
203-559-5119
Fax Number
person
Provider Business Mailing Address Details
Address
35 W Broad St
City
Stamford
State
Connecticut
Zip
06902-3766
Phone Number
203-559-5119
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
()
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
057051 (New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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