Individual
SAMANTHA WESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32 E MAIN ST, AVON, CT 06001-3843
(860) 678-1140
Mailing address
32 E MAIN ST, AVON, CT 06001-3843
(860) 678-1140
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11638
CT
Other
Enumeration date
06/24/2016
Last updated
06/24/2016
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