Individual
MISS MICHELLE ANN DACONTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, BS
Contact information
Practice address
16 BACKES CT, WALLINGFORD, CT 06492-4712
(203) 631-4382
Mailing address
16 BACKES CT, WALLINGFORD, CT 06492-4712
(203) 631-4382
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
007827
CT
Other
Enumeration date
08/02/2019
Last updated
08/02/2019
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