Provider Demographics
NPI:1093827925
Name:RUNGTA, SONALIKA (DMD)
Entity Type:Individual
Prefix:DR
First Name:SONALIKA
Middle Name:
Last Name:RUNGTA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WINDSOR LOCKS
Mailing Address - State:CT
Mailing Address - Zip Code:06096-2326
Mailing Address - Country:US
Mailing Address - Phone:860-623-3244
Mailing Address - Fax:860-292-6300
Practice Address - Street 1:32 MAIN ST
Practice Address - Street 2:
Practice Address - City:WINDSOR LOCKS
Practice Address - State:CT
Practice Address - Zip Code:06096-2326
Practice Address - Country:US
Practice Address - Phone:860-623-3244
Practice Address - Fax:860-292-6300
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA198661223G0001X
CT0096341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice