Individual
MRS. MARY ANN HULTGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
419 BOSTON POST RD, WEST HAVEN, CT 06516-1918
(203) 624-5515
Mailing address
121 LEDGEWOOD DR, NORTH BRANFORD, CT 06471-1816
(203) 481-8658
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
006210
CT
Other
Enumeration date
10/15/2007
Last updated
10/15/2007
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