Individual
KRYSTAL CARDENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1302 S MAIN ST, WATERBURY, CT 06706-1748
(203) 756-8021
Mailing address
80 PHOENIX AVE STE 201, WATERBURY, CT 06702-1418
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
007962
CT
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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