Individual
JOHN SANTORELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
20 N MAIN ST, NORWALK, CT 06854-2656
(203) 866-6658
Mailing address
20 N MAIN ST, NORWALK, CT 06854-2656
(203) 866-6658
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
004743
CT
Other
Enumeration date
03/03/2007
Last updated
07/08/2007
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