Individual
ROSA NODA-CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1 CHELSEA LN, EAST GRANBY, CT 06026
(860) 380-0830
Mailing address
1 CHELSEA LN, EAST GRANBY, CT 06026-9634
(860) 380-0830
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
006043
CT
Other
Enumeration date
07/12/2011
Last updated
07/21/2018
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