Individual
JESSICA HENRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
54 MEADOW ST, NEW HAVEN PUBLIC SCHOOLS, NEW HAVEN, CT 06519-1783
(203) 946-4860
Mailing address
18 MILLS DR, WEST HAVEN, CT 06516-6250
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
7843
CT
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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