Provider Demographics
NPI:1275713216
Name:PERSHA, ALOKH (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALOKH
Middle Name:
Last Name:PERSHA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:490-19 SOUTH BROADWAY ST
Mailing Address - Street 2:ASPEN DENTAL
Mailing Address - City:MERIDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06450-0000
Mailing Address - Country:US
Mailing Address - Phone:203-237-1000
Mailing Address - Fax:
Practice Address - Street 1:490-19 SOUTH BROADWAY ST
Practice Address - Street 2:ASPEN DENTAL
Practice Address - City:MERIDEN
Practice Address - State:CT
Practice Address - Zip Code:06450-0000
Practice Address - Country:US
Practice Address - Phone:203-237-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-07
Last Update Date:2007-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0097121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice