Individual
THOMAS PAUL SODANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
14932 LIMA ROAD, HUNTERTOWN, IN 46748-9275
(260) 637-5848
Mailing address
6985 C.R.327, GARRETT, IN 46738-9765
(260) 637-8556
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008985
IN
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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