Individual
SAMANTHA MARIE GENOVESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
464 WOLCOTT RD, WOLCOTT, CT 06716-2626
(203) 879-4649
Mailing address
3 RIC CT, NORTH BRANFORD, CT 06471-1238
(203) 980-6191
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11868
CT
Other
Enumeration date
04/25/2016
Last updated
01/14/2023
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