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Organization
FAIRFIELD COUNTY IMPLANTS AND PERIODONTICS
Active
Organization
FAIRFIELD COUNTY IMPLANTS AND PERIODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL KEVIN SONICK D.M.D. (MANAGING PARTNER)
(203) 254-2006
Entity
Organization
Contact information
Practice address
1047 OLD POST RD, FAIRFIELD, CT 06824-5906
(203) 254-2006
(203) 254-9201
Mailing address
1047 OLD POST RD, FAIRFIELD, CT 06824-5906
(203) 254-2006
(203) 254-9201
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
6434
CT
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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