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Organization

AVON FAMILY DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. COLLIN B. SANFORD D.M.D. (DENTIST)
(860) 677-6405
Entity
Organization

Contact information

Practice address
44 DALE RD, AVON, CT 06001-3612
(860) 677-6405
(860) 677-1189
Mailing address
44 DALE RD, AVON, CT 06001-3612
(860) 677-6405
(860) 677-1189

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0236292
CT
1223G0001X
General Practice Dentistry
Primary
CT

Other

Enumeration date
01/25/2007
Last updated
08/22/2020
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