Individual
SOFIA ISABEL VILLAGRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-2505
Mailing address
15 LIDO RD, UNIONVILLE, CT 06085-1517
(860) 306-9884
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12858
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/24/2014
Last updated
02/08/2021
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