Individual
MARY SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
438 MAIN ST, SUITE 204, MIDDLETOWN, CT 06457-3396
(888) 964-6681
(888) 662-0859
Mailing address
888 WORCESTER ST, SUITE 130, WELLESLEY, MA 02482-3744
(617) 964-6681
(339) 686-2561
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
003183
CT
Other
Enumeration date
08/06/2014
Last updated
10/24/2014
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