Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | 12189 | CT |
NPI | 1104359850 |
---|---|
Provider Name | Kiranpreet Narain |
First Address | North Haven, CT 06473-4302 |
Second Address | North Haven, CT 06473-4302 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2017 |
Last Update Date | 04/09/2020 |