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1073644159
JONATHAN C SUSAT
GLASTONBURY, CT
NPI
1073644159
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CT 5815)
Enumeration Date
2007-03-08
Last Update Date
2007-07-08
Business Address
-- JONATHAN C SUSAT DDS
416 NEW LONDON TPKE
GLASTONBURY, CT 06033-2237
Phone number: 860-633-3671
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Mailing Address
-- JONATHAN C SUSAT DDS
416 NEW LONDON TPKE
GLASTONBURY, CT 06033-2237
Phone number: 860-633-3671
Copy
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