Individual
SILVERIA DE JESUS MARMOLEJOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
328 MAIN ST, WEST HAVEN, CT 06516-4425
(203) 931-8885
(203) 931-8876
Mailing address
27 CHARTER RIDGE DR, SANDY HOOK, CT 06482-1573
(203) 426-5681
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
009240
CT
Other
Enumeration date
07/22/2006
Last updated
07/08/2007
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