Individual
SUMIT SONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2640 W COLLEGE AVE, APPLETON, WI 54914-4201
(920) 442-5715
Mailing address
2640 W COLLEGE AVE, APPLETON, WI 54914-4201
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6001295
WI
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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