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Individual

TRACEY OBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
54 MEADOW ST, 3RD FLOOR SCHOOL HEALTH CENTER, NEW HAVEN, CT 06519-1783
(203) 946-4860
Mailing address
31 CARPENTER AVE, MERIDEN, CT 06450-6105

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
007830
CT

Other

Enumeration date
08/10/2015
Last updated
08/10/2015
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