Individual
DR. SALLY M VAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
64 WASHINGTON ST, MYSTIC, CT 06355-2811
(860) 536-7100
(860) 572-0644
Mailing address
64 WASHINGTON ST, MYSTIC, CT 06355-2811
(860) 536-7100
(860) 572-0644
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7118
CT
1223G0001X
General Practice Dentistry
7118
CT
Other
Enumeration date
09/11/2008
Last updated
04/16/2015
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