Individual
DR. KERI DISCEPOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
263 FARMINGTON AVE, DEPT. OF PEDIATRIC DENTISTRY, FARMINGTON, CT 06030-1710
(860) 679-7155
(860) 679-1899
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-1000
(860) 679-2207
(860) 679-1899
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
009947
CT
Other
Enumeration date
11/04/2008
Last updated
10/05/2015
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