Individual
MRS. STACIE L JANKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
191 MIDDLETOWN AVE, WETHERSFIELD, CT 06109-3824
(860) 335-9504
Mailing address
191 MIDDLETOWN AVE, WETHERSFIELD, CT 06109-3824
(860) 335-9504
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
007651
CT
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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