Individual
MS. KELLY M FINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, BSDH, MED
Contact information
Practice address
2279 MOUNT VERNON RD, SOUTHINGTON, CT 06489-1007
(860) 628-4751
Mailing address
6 HIDDEN OAK DR, FARMINGTON, CT 06032-2734
(860) 677-9117
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3230
CT
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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