Organization
SAMSON DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILFORD SAMSON DDS (OWNER)
18603883845
Entity
Organization
Contact information
Practice address
25 STAGE RD, OLD SAYBROOK, CT 06475-4232
(860) 388-3845
Mailing address
25 STAGE RD, OLD SAYBROOK, CT 06475-4232
(860) 388-3845
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9243
CT
Other
Enumeration date
05/27/2014
Last updated
06/20/2014
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