Individual
ASHLEY RAEANN BERMUDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
728 WOLCOTT STREET, WATERBURY, CT 06705
(951) 551-9647
Mailing address
15 NORTH CT, CHESHIRE, CT 06410-1713
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14183
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/21/2024
Last updated
07/25/2024
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