Sundaresan, Sulakshana

Sundaresan, Sulakshana is an individual health care provider with primary practice located at 60 Church Street , Yalesville CT 06492. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dental Public Health, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Sundaresan, Sulakshana can be contacted via phone (203) 774-0019.

Contact Information

Primary practice address
60 Church Street Yalesville CT 06492
Phone: (203) 774-0019
Fax: (203) 774-0034
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X 9656 Connecticut
Dental Providers / General Practice 1223G0001X 9656 Connecticut

Profile Details

NPI number 1518117589
LBN Legal business name Sundaresan, Sulakshana
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2008
Last updated Sep 24th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518117589 NPPES
Connecticut MEDICAID MCD008001178

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