SANDEEP P MAMMEN DMD
Dentist


Address: 8 Countryview Dr, Bloomfield, CT 06002

SANDEEP P MAMMEN DMD (Credential# 703454) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is January 24, 2007. The license expiration date date is March 31, 2008. The license status is INACTIVE.

Business Overview

SANDEEP P MAMMEN DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.009002. The credential type is dentist. The effective date is January 24, 2007. The expiration date is March 31, 2008. The business address is 8 Countryview Dr, Bloomfield, CT 06002. The current status is inactive.

Basic Information

Licensee Name SANDEEP P MAMMEN DMD
Credential ID 703454
Credential Number 2.009002
Credential Type Dentist
Business Address 8 Countryview Dr
Bloomfield
CT 06002
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2002-03-13
Effective Date 2007-01-24
Expiration Date 2008-03-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
309775 CSP.0032219 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2007-03-01 - 2008-02-29 INACTIVE

Office Location

Street Address 8 COUNTRYVIEW DR
City BLOOMFIELD
State CT
Zip Code 06002

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Paula L Raines 92 Daniel Blvd, Bloomfield, CT 06002 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
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Joan Zito Upton 106 Duncaster Road, Bloomfield, CT 06002 Dental Hygienist 2020-08-01 ~ 2021-07-31
Sheri M Sparks Primary Eye Care Center, Bloomfield, CT 06002 Optometrist 2020-09-01 ~ 2021-08-31
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Healing Meals Foundation Corporation Po Box 7223, Bloomfield, CT 06002 Public Charity 2020-12-01 ~ 2021-11-30
Taylor A West 5 Tiffany Ln, Bloomfield, CT 06002 Registered Nurse 2020-07-01 ~ 2021-06-30
Emma J Ranel 53 Burr Road, Bloomfield, CT 06002 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
Dorothy W Field 177 Oliver Way, Bloomfield, CT 06002 Registered Nurse 2020-09-01 ~ 2021-08-31
Carol J Mortensen 6 Maple Edge Dr, Bloomfield, CT 06002 Registered Nurse 2020-07-01 ~ 2021-06-30
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Competitor

Search similar business entities

City BLOOMFIELD
Zip Code 06002
License Type Dentist
License Type + County Dentist + BLOOMFIELD

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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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