Alysha Bullock, D.M.D

NPI 1295116903 · on the registry since 2015 · sole proprietor

Practice

Address: 1090 Meriden Waterbury Tpke
Cheshire, CT 06410
Phone: (203) 272-8222
Fax: (203) 272-8270
Organisation at this address: Vijitha Bandla Pllc
Cheshire Family Dental Pllc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: CT
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2016-07-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut