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Individual

DR. JESSE MICHAEL SORRENTINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
291 FARMINGTON AVE, FARMINGTON, CT 06032-1925
(860) 677-8747
Mailing address
291 FARMINGTON AVE, FARMINGTON, CT 06032-1925
(860) 677-8747

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
010130
CT
1223P0300X
Periodontics
0551681
NY

Other

Enumeration date
10/02/2010
Last updated
10/02/2010
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