Individual
JENNIFER BERK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
153 GROVE ST, PUTNAM, CT 06260-2115
(860) 928-3723
(860) 928-0029
Mailing address
466 ROCKY HILL RD, WOODSTOCK, CT 06281-2819
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
005611
CT
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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