Individual
MS. SIOBHAN S JAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1000 ASYLUM AVE, SUITE 3200, HARTFORD, CT 06105-1770
(860) 714-4990
(860) 714-8005
Mailing address
4 GRAND VIEW DR, ENFIELD, CT 06082-5554
(860) 714-4990
(860) 174-8005
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
004146
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004146
DENTAL HYGIENIST LICENSE
CT
Enumeration date
05/09/2007
Last updated
07/08/2007
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