Lalla, Rajesh

Lalla, Rajesh is an individual health care provider with primary practice located at 263 Farmington Ave Oral Medicine, Farmington CT 06030-0001. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Lalla, Rajesh can be contacted via phone (860) 679-2952.

Contact Information

Primary practice address
263 Farmington Ave Oral Medicine Farmington CT 06030-0001
Phone: (860) 679-2952
Fax: (860) 679-4760
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 008831 Connecticut
Dental Providers / Dentist 122300000X 008831 Connecticut

Profile Details

NPI number 1326044348
LBN Legal business name Lalla, Rajesh
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Sep 28th, 2022 - about 4 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 1326044348 NPPES
Connecticut MEDICAID 002088319

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