Provider Demographics
NPI:1083365530
Name:RAJ ENTERPRISES OF CROMWELL PLLC
Entity Type:Organization
Organization Name:RAJ ENTERPRISES OF CROMWELL PLLC
Other - Org Name:UNICORN DENTAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RUPESH
Authorized Official - Middle Name:
Authorized Official - Last Name:PANDEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-955-0995
Mailing Address - Street 1:5 STONE BROOK XING
Mailing Address - Street 2:
Mailing Address - City:ROCKY HILL
Mailing Address - State:CT
Mailing Address - Zip Code:06067-2933
Mailing Address - Country:US
Mailing Address - Phone:860-955-0995
Mailing Address - Fax:
Practice Address - Street 1:28 SHUNPIKE RD STE 7
Practice Address - Street 2:
Practice Address - City:CROMWELL
Practice Address - State:CT
Practice Address - Zip Code:06416-2454
Practice Address - Country:US
Practice Address - Phone:860-955-0995
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-17
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDentalGroup - Single Specialty