Individual
COLLIN B SANFORD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
44 DALE RD, AVON, CT 06001-3612
(860) 677-6405
(860) 677-1189
Mailing address
44 DALE RD, AVON, CT 06001-3676
(860) 677-6405
(860) 677-1189
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
020005127
CT
Other
Enumeration date
08/09/2005
Last updated
02/24/2016
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