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1992499289
JEFFREY PETER SAM
NEW HAVEN, CT
NPI
1992499289
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CT 13806)
Enumeration Date
2023-06-08
Last Update Date
2023-06-08
Business Address
Dr. JEFFREY PETER SAM
122 AMITY RD
NEW HAVEN, CT 06515-1405
Phone number: 203-389-9600
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Mailing Address
Dr. JEFFREY PETER SAM
22 SEPTEMBER LN
SHELTON, CT 06484-5753
Phone number: 203-414-7782
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