Tulasi N. Vikram Dds Dentist
171 Grandview Ave Ste 103, Waterbury, CT 067082519


Tulasi N. Vikram Dds is licensed in the eLicensing system of Connecticut. The license credential ID is 934319. The license type is Dentist. The license status is ACTIVE. The address is 171 Grandview Ave Ste 103, Waterbury, CT 067082519. The zip code is 06708.


Tulasi N. Vikram Dds · 171 Grandview Ave Ste 103, Waterbury, CT 067082519

Credential ID 934319
Name TULASI N. VIKRAM DDS
Type INDIVIDUAL
Address 171 GRANDVIEW AVE STE 103
WATERBURY, CT 067082519
License Credential Dentist
Full Credential Code 2.010282
Credential Type 2
Credential Number 10282
Status ACTIVE
Status Reason CURRENT
Active 1
Issue Date 06/24/2010
Effective Date 07/01/2016
Expiration Date 06/30/2017
Record Refresh Date 06/01/201

TULASI N. VIKRAM DDS · Connecticut Business

Tulasi N. Vikram Dds · Controlled Substance Registration for Practitioner 171 Grandview Ave Ste 103, Waterbury, CT 067082519

Zip 06708 · Dentist · Connecticut Business

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