Individual
ALEXANDER SONESSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8057 BREWERTON RD, CICERO, NY 13039-9585
(914) 614-9093
Mailing address
8057 BREWERTON RD, CICERO, NY 13039-9585
(914) 614-9093
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D10519
OR
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
062847
NY
Other
Enumeration date
08/04/2016
Last updated
11/01/2022
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