Individual
SERGIO EDUARDO SANCHEZ-VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-2505
Mailing address
2 BLENHEIM TER, FARMINGTON, CT 06032-1454
(860) 502-9778
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
010518
CT
1223G0001X
General Practice Dentistry
Primary
12954
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008033217
—
CT
Enumeration date
08/19/2008
Last updated
03/08/2021
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