Jonathan C Susat, DDS

NPI #1073644159 in Glastonbury, Connecticut

Provider Information

NPI Number: 1073644159
Entity Type: Individual
Name: Jonathan C Susat, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Mar 8, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 416 NEW LONDON TPKE
City: Glastonbury
State: Connecticut
ZIP Code: 06033-2237
Phone: (860) 633-3671

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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