Individual
DR. SIMONA TROFIMOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
162 MOUNTAIN RD, SUFFIELD, CT 06078-2091
(860) 668-0241
(860) 668-8788
Mailing address
15 LEDGEWOOD DR, FARMINGTON, CT 06032-1077
(860) 673-3133
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
010306
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010306
DENTAL LICENCE ISSUED BY STATE OF CONNECTICUT - DEPARTMENT OF PUBLIC HEALTH
CT
Enumeration date
07/21/2010
Last updated
10/23/2020
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