Individual
ESTHEFFY GONZALEZ PANTALEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 GRAND AVE, NEW HAVEN, CT 06513-3949
(203) 777-7411
Mailing address
50 GRAND AVE, NEW HAVEN, CT 06513-3949
(203) 777-7411
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
009362
CT
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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