Individual
DR. CHRISTOPHER VIJAY SOARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
128 CANDLEWOOD LAKE RD, BROOKFIELD, CT 06804-2226
(203) 300-1394
Mailing address
128 CANDLEWOOD LAKE RD, BROOKFIELD, CT 06804-2226
(203) 300-1394
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
11007
CT
1223P0221X
Pediatric Dentistry
Primary
11007
CT
Other
Enumeration date
04/26/2012
Last updated
07/01/2022
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