Individual
SARAH RENEA CIVITILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06032-1956
(304) 312-6703
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06032-1956
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
14370
CT
Other
Enumeration date
06/26/2021
Last updated
05/14/2025
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