Individual
OLIVIA DORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-2000
Mailing address
1 PARK RD APT 253, WEST HARTFORD, CT 06119-1964
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
14372
CT
Other
Enumeration date
04/15/2025
Last updated
05/20/2025
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