Individual
MRS. MARIA TERESA MACHADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
635 MAIN ST, MIDDLETOWN, CT 06457-2718
(860) 347-6971
(860) 638-6601
Mailing address
635 S MAIN ST, CREDENTIALING DPT, MIDDLETOWN, CT 06457-4252
(860) 347-6971
(860) 638-6601
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
007521
CT
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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