Organization
WILFORD SAMSON FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILFORD SAMSON D.D.S. (OWNER)
(860) 388-3845
Entity
Organization
Contact information
Practice address
25 STAGE RD, OLD SAYBROOK, CT 06475-4232
(860) 388-3845
(860) 388-9023
Mailing address
25 STAGE RD, OLD SAYBROOK, CT 06475-4232
(860) 388-3845
(860) 388-9023
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
009243
CT
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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