Individual
MERCELEENA SONIA CORREYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
272 FRANKLIN AVE, HARTFORD, CT 06114-1848
(860) 296-5437
(860) 296-5454
Mailing address
201 W 8TH ST, SUITE 810, PUEBLO, CO 81003-3038
(719) 562-4447
(719) 583-1801
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10845
CT
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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