Individual provider · Type 1 NPI

Carmen Pamela Maldonado Hernandez, DDS

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

NPI number 1629811328 Active

Practice location

263 Farmington Ave
Farmington, CT 06030-0001

Mailing address

395 Brittany Farms Rd Apt 305
New Britain, CT 06053-1149

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X14143 (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 1629811328

Carmen Pamela Maldonado Hernandez, DDS's National Provider Identifier is 1629811328, issued on Jun 18, 2024. 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 Sep 11, 2024.