Organization
SAMSON DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILFORD SAMSON D.D.S (DENTIST)
(860) 388-3845
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
124Q00000X
Dental Hygienist
Primary
8405
CT
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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