Individual
SANDEEP JAGINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
297 BOSTON POST RD, ORANGE, CT 06477-3537
(203) 795-4748
Mailing address
297 BOSTON POST RD, ORANGE, CT 06477-3537
(203) 795-4748
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
010505
CT
1223G0001X
General Practice Dentistry
22DI02965600
NJ
1223G0001X
General Practice Dentistry
DN21575
MA
Other
Enumeration date
04/29/2008
Last updated
06/08/2023
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