VIJITHA BANDLA
Dentist


Address: 505 Woodland Hills Dr, Trumbull, CT 06611-6360

VIJITHA BANDLA (Credential# 1436077) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.

Business Overview

VIJITHA BANDLA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.011866. The credential type is dentist. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 505 Woodland Hills Dr, Trumbull, CT 06611-6360. The current status is active.

Basic Information

Licensee Name VIJITHA BANDLA
Credential ID 1436077
Credential Number 2.011866
Credential Type Dentist
Business Address 505 Woodland Hills Dr
Trumbull
CT 06611-6360
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2017-07-20
Effective Date 2020-04-01
Expiration Date 2021-03-31
Refresh Date 2020-01-06

Other licenses

ID Credential Code Credential Type Issue Term Status
1438927 CSP.0066347 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2017-07-26 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 505 WOODLAND HILLS DR
City TRUMBULL
State CT
Zip Code 06611-6360

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Competitor

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City TRUMBULL
Zip Code 06611
License Type Dentist
License Type + County Dentist + TRUMBULL

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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