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Individual

SONAM HASIJA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS, MPH, BDS,

Contact information

Practice address
104 PRESTON ST, 1E, HARTFORD, CT 06114-2500
(860) 296-1500
Mailing address
104 PRESTON ST, 1E, HARTFORD, CT 06114-2500
(860) 296-1500

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10699
CT
1223G0001X
General Practice Dentistry
DN19178
FL

Other

Enumeration date
07/15/2010
Last updated
05/18/2012
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