Individual
DR. JENNY SUSANA SAM HO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06032-1956
(860) 679-4642
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-3547
(860) 679-4642
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
011279
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/06/2011
Last updated
11/06/2014
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