Individual
SEBASTIAN RICHARD BASCETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
138 -R MARKET SQUARE, NEWINGTON, CT 06111-2913
(860) 666-8461
(860) 665-0079
Mailing address
138 -R MARKET SQUARE, NEWINGTON, CT 06111-2913
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7485
CT
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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