Individual
DR. SONAL JITENDRA PATEL MARU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
277 NEW LONDON TPKE, GLASTONBURY, CT 06033-2232
(860) 430-9889
Mailing address
209 PAXTON WAY, GLASTONBURY, CT 06033-3387
(516) 458-9119
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
010523
CT
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
10523
CT
Other
Enumeration date
02/19/2016
Last updated
11/02/2017
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