NPI 1033093620

Kiran Pervez

Practitioner Dentist Waterbury, CT

Practice location

Address: 188 Chase Ave, Waterbury, CT 06704-2245
Phone: (203) 754-3818
Mailing address: 122 E Carpenter St, Valley Stream, NY 11580-4420

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 14538 (CT)

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Registry record

NPI: 1033093620
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Aug 2025
Record last updated: 5 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.