Individual provider · Type 1 NPI

Flavia Gomes Velasque Gama, DMD

Student in an Organized Health Care Education/Training Program · Farmington, CT

NPI number 1366030876 Active

Practice location

263 Farmington Avenue
Farmington, CT 06053

Call (860) 679-2207 Map

Fax (860) 679-1363

Mailing address

1248 Farmington Ave Apt C14
West Hartford, CT 06107-2624

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X13093 (CT)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1366030876

Flavia Gomes Velasque Gama, DMD's National Provider Identifier is 1366030876, issued on Jan 10, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Farmington, CT. The record was last updated on Jul 23, 2021.