PAYAL JAIN DDS
Dentist


Address: 4025 Connecticut Ave Nw, Washington, DC 20008

PAYAL JAIN DDS (Credential# 937335) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2012. The license expiration date date is September 30, 2013. The license status is INACTIVE.

Business Overview

PAYAL JAIN DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.010290. The credential type is dentist. The effective date is October 1, 2012. The expiration date is September 30, 2013. The business address is 4025 Connecticut Ave Nw, Washington, DC 20008. The current status is inactive.

Basic Information

Licensee Name PAYAL JAIN DDS
Credential ID 937335
Credential Number 2.010290
Credential Type Dentist
Business Address 4025 Connecticut Ave Nw
Washington
DC 20008
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2010-06-24
Effective Date 2012-10-01
Expiration Date 2013-09-30
Refresh Date 2014-01-02

Other licenses

ID Credential Code Credential Type Issue Term Status
947043 CSP.0048438 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2010-08-10 2010-08-10 - 2011-02-28 INACTIVE

Office Location

Street Address 4025 CONNECTICUT AVE NW
City WASHINGTON
State DC
Zip Code 20008

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Competitor

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City WASHINGTON
Zip Code 20008
License Type Dentist
License Type + County Dentist + WASHINGTON

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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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