Individual
DR. JUSTIN DESSEREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
168 SPENCER ST, MANCHESTER, CT 06040
(860) 265-8047
Mailing address
15 TOWNWOODS RD, IVORYTON, CT 06442-1270
(203) 232-4886
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11726
CT
Other
Enumeration date
09/04/2016
Last updated
05/02/2019
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