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Lavanya Rajendran, DMD
Periodontist in New London, Connecticut
NPI 1831692425

Lavanya Rajendran is a Periodontist based in Cheshire, CT and is specialized in Periodontics. Lavanya Rajendran practices in New London, CT and has the professional credentials of DMD. The NPI Number for Lavanya Rajendran is 1831692425 and holds a License No. DEN03625 (Connecticut).

The current practice location address for Lavanya Rajendran is 190 Hempstead St, New London, CT and can be reached out via phone at 860-443-2428.

Location: 190 Hempstead St, New London, CT, 06410-2950
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831692425
Provider Name
Lavanya Rajendran
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
190 Hempstead St, New London, CT, 06410-2950
Phone Number
860-443-2428
Fax Number
Provider Enumeration Date
03/09/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
190 Hempstead St
City
New London
State
Connecticut
Zip
06320-6248
Phone Number
860-443-2428
Fax Number
person
Provider Business Mailing Address Details
Address
190 Hempstead St
City
New London
State
Connecticut
Zip
06320-6248
Phone Number
860-443-2428
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
12212 (Connecticut)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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.
DEN03625 (Rhode Island)
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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