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Individual

DR. JONATHAN C SUDOL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
664 COLLEGE HWY, SOUTHWICK, MA 01077-9260
(413) 642-5250
(413) 831-6366
Mailing address
664 COLLEGE HWY, SOUTHWICK, MA 01077-9260
(413) 642-5250
(413) 831-6366

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
20461
MA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
3265
NH

Other

Enumeration date
08/17/2006
Last updated
05/11/2023
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