Individual
MRS. SUSAN M. MIKLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EFDA,RDH, BSDH, MSDH
Contact information
Practice address
126 PARK AVE, BRIDGEPORT, CT 06604-7620
(203) 576-4823
Mailing address
114 SQUIRES RD, MADISON, CT 06443-1792
(203) 915-1666
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
006553
CT
Other
Enumeration date
07/29/2011
Last updated
08/02/2016
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