Individual
MRS. JEANETTE RITA RIQUIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
763 BURNSIDE AVE, EAST HARTFORD, CT 06108-2791
(860) 622-5662
Mailing address
3 HOMESTEAD LN, COLUMBIA, CT 06237-1346
(860) 228-3528
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
006230
CT
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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