Individual
TAKANORI SOBUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-1710
(860) 679-2000
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06032-1956
(860) 679-2000
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
010364
CT
Other
Enumeration date
06/12/2008
Last updated
01/13/2015
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