Individual
DR. JACQUELYN PHYLLIS PITCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
375 WILLARD AVE, NEWINGTON, CT 06111
(203) 214-0412
Mailing address
1 KING ARTHUR WAY APT 11, NEWINGTON, CT 06111-2221
(203) 214-0412
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12353
CT
Other
Enumeration date
06/08/2017
Last updated
08/31/2018
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