Individual
LEEANN PASTORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26 N FOREST CIR, WEST HAVEN, CT 06516-7939
(203) 314-8172
Mailing address
26 N FOREST CIR, WEST HAVEN, CT 06516-7939
(203) 314-8172
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
006242
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01352-6542
—
CT
Enumeration date
12/09/2015
Last updated
12/09/2015
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