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Dr. Sunil Mutalik, BDS,MDS
Student in an Organized Health Care Education/Training Program in Farmington, Connecticut
NPI 1568815405

Sunil Mutalik is a Student in an Organized Health Care Education/Training Program based in Columbus, CT. Sunil Mutalik practices in Farmington, CT and has the professional credentials of BDS,MDS. The NPI Number for Sunil Mutalik is 1568815405 and holds a License No. (Connecticut).

The current practice location address for Sunil Mutalik is 263 Farmington Ave, Farmington, CT and can be reached out via phone at 867-679-2000.

Location: 263 Farmington Ave, Farmington, CT, 43220-2953
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568815405
Provider Name
Sunil Mutalik
Credential
BDS,MDS
Provider Entity Type
Individual
Gender
Male
Address
263 Farmington Ave, Farmington, CT, 43220-2953
Phone Number
867-679-2000
Fax Number
Provider Enumeration Date
07/15/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
263 Farmington Ave
City
Farmington
State
Connecticut
Zip
06030-0001
Phone Number
867-679-2000
Fax Number
person
Provider Business Mailing Address Details
Address
263 Farmington Ave
City
Farmington
State
Connecticut
Zip
06030-0001
Phone Number
867-679-2000
Fax Number
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.
()
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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