Individual
MISS ANTONIA COLETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL HYGIENIST
Contact information
Practice address
428 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3044
(203) 503-3187
Mailing address
69 CENTER ST, WEST HAVEN, CT 06516-3805
(203) 931-7109
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
006123
CT
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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