Individual
DR. MICHAEL KEVIN SONICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1047 OLD POST RD, FAIRFIELD, CT 06824-5906
(203) 254-2006
(203) 254-9201
Mailing address
1047 OLD POST ROAD, FAIRFIELD, CT 06824
(203) 254-2006
(203) 254-9201
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
6434
CT
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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