Linda Isis Primus RDH BSDH MHS

NPI 1710057914 - Dental Hygienist - 124Q00000X

NPI Details
NPI 1710057914
Gender Female
Enumeration Date 11/08/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1302 S MAIN ST
WATERBURY CT, 06706-1748, US
Phone (203) 756-8021
Fax
Business Location
596 MIXVILLE RD
CHESHIRE CT, 06410-3833, US
Phone (203) 272-6456
Fax
Toxanomy
Taxonomy Code 124Q00000X
License State Connecticut
License Number 03157
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According to our database, Ms. Linda Isis Primus RDH BSDH MHS NPI is 1710057914, taxonomy code is 124Q00000X and license number is 03157, license state is located at Connecticut. Linda Isis Primus RDH BSDH MHS physically located at 1302 S Main St, Waterbury CT, 06706-1748. NPI Number Linda Isis Primus RDH BSDH MHS has the Individual type.

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1710057914 NPI number is provided on an as is basis without warranty of any kind. 1710057914 is maintained by the National Plan & Provider Enumeration System. The contents of Linda Isis Primus RDH BSDH MHS are for informational purposes only.