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Dr. Flavia Gomes Velasque Gama, DMD
Student in an Organized Health Care Education/Training Program in Farmington, Connecticut
NPI 1366030876

Flavia Gomes Velasque Gama is a Student in an Organized Health Care Education/Training Program based in West Hartford, CT. Flavia Gomes Velasque Gama practices in Farmington, CT and has the professional credentials of DMD. The NPI Number for Flavia Gomes Velasque Gama is 1366030876 and holds a License No. 13093 (Connecticut).

The current practice location address for Flavia Gomes Velasque Gama is 263 Farmington Avenue, Farmington, CT and can be reached out via phone at 860-679-2207 and via fax at 860-679-1363.

Location: 263 Farmington Avenue, Farmington, CT, 06107-2624
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366030876
Provider Name
Flavia Gomes Velasque Gama
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
263 Farmington Avenue, Farmington, CT, 06107-2624
Phone Number
860-679-2207
Fax Number
860-679-1363
Provider Enumeration Date
01/10/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
263 Farmington Avenue
City
Farmington
State
Connecticut
Zip
06053
Phone Number
860-679-2207
Fax Number
860-679-1363
person
Provider Business Mailing Address Details
Address
263 Farmington Avenue
City
Farmington
State
Connecticut
Zip
06053
Phone Number
860-679-2207
Fax Number
860-679-1363
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
13093 (Connecticut)
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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