Individual
DR. ANDREW JOSEPH PONICHTERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
373 HOPMEADOW ST, WEATOGUE, CT 06089-9717
(860) 651-3319
(860) 651-3314
Mailing address
373 HOPMEADOW ST, P.O. BOX 316, WEATOGUE, CT 06089-0316
(860) 651-3319
(860) 651-3314
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
006807
CT
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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