Individual
DR. JEFFREY PETER SAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
122 AMITY RD, NEW HAVEN, CT 06515-1405
(203) 389-9600
Mailing address
22 SEPTEMBER LN, SHELTON, CT 06484-5753
(203) 414-7782
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13806
CT
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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