MANISHA BHALLA DMD
Dentist


Address: 99 Florence Road, Unit 2c, Branford, CT 06405

MANISHA BHALLA DMD (Credential# 980253) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2012. The license expiration date date is October 31, 2013. The license status is INACTIVE.

Business Overview

MANISHA BHALLA DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.010441. The credential type is dentist. The effective date is November 1, 2012. The expiration date is October 31, 2013. The business address is 99 Florence Road, Unit 2c, Branford, CT 06405. The current status is inactive.

Basic Information

Licensee Name MANISHA BHALLA DMD
Credential ID 980253
Credential Number 2.010441
Credential Type Dentist
Business Address 99 Florence Road, Unit 2c
Branford
CT 06405
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2011-01-11
Effective Date 2012-11-01
Expiration Date 2013-10-31
Refresh Date 2014-02-21

Other licenses

ID Credential Code Credential Type Issue Term Status
996571 CSP.0050078 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2011-05-09 2011-05-09 - 2013-02-28 INACTIVE

Office Location

Street Address 99 Florence Road, Unit 2C
City Branford
State CT
Zip Code 06405

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Competitor

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City Branford
Zip Code 06405
License Type Dentist
License Type + County Dentist + Branford

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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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