Individual
LEILA FUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
87 WALFORD LN, PORTSMOUTH, NH 03801-4765
(860) 604-9573
Mailing address
175 GARFIELD RD, WEST HARTFORD, CT 06107-2909
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
04718
NH
Other
Enumeration date
03/14/2018
Last updated
07/23/2024
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