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Individual

SONAM SHETH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD, MS

Contact information

Practice address
376 COOLEY ST, SPRINGFIELD, MA 01128-1144
(413) 796-1616
Mailing address
11 DOGWOOD DR, DANBURY, CT 06811-4530
(203) 715-7006

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
060107
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12393
CT

Other

Enumeration date
09/06/2018
Last updated
10/30/2018
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