Individual
REBECA MARIA COLLADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
19 HORTON ST, STAMFORD, CT 06902-6216
(203) 977-6691
Mailing address
888 WASHINGTON BLVD, STAMFORD, CT 06901-2902
(203) 977-4846
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
008504
CT
Other
Enumeration date
04/18/2017
Last updated
04/18/2017
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