Jonathon Lee Samburg D.D.S.

NPI 1093816506 - Dentist - 1223G0001X

NPI Details
NPI 1093816506
Gender Male
Enumeration Date 09/26/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
437 ORANGE ST
NEW HAVEN CT, 06511-6202, US
Phone (203) 865-4843
Fax (203) 865-1891
Business Location
437 ORANGE ST
NEW HAVEN CT, 06511-6202, US
Phone (203) 865-4843
Fax (203) 865-1891
Toxanomy
Taxonomy Code 1223G0001X
License State Connecticut
License Number DO4341
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According to our database, Dr. Jonathon Lee Samburg D.D.S. NPI is 1093816506, taxonomy code is 1223G0001X and license number is DO4341, license state is located at Connecticut. Jonathon Lee Samburg D.D.S. physically located at 437 Orange St, New Haven CT, 06511-6202. NPI Number Jonathon Lee Samburg D.D.S. has the Individual type.

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1093816506 NPI number is provided on an as is basis without warranty of any kind. 1093816506 is maintained by the National Plan & Provider Enumeration System. The contents of Jonathon Lee Samburg D.D.S. are for informational purposes only.