Individual
GISELLE URENA CORDERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
165 MIDDLE TPKE W, MANCHESTER, CT 06040-4024
(860) 644-1095
Mailing address
181 HART ST, SOUTHINGTON, CT 06489-2442
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14195
CT
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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