Individual
LILLY PRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
317 W PRESTON ST, HARTFORD, CT 06114-2337
(860) 916-5927
Mailing address
317 W PRESTON ST, HARTFORD, CT 06114-2337
(860) 916-5927
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972665784
—
CT
Enumeration date
10/01/2020
Last updated
10/01/2020
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