Individual
MS. JENNIFER DOLORES ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
719 BIRDSEYE ST, STRATFORD, CT 06615-6827
(203) 385-4090
Mailing address
719 BIRDSEYE ST, STRATFORD, CT 06615-6827
(203) 385-4090
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
007366
CT
Other
Enumeration date
09/28/2011
Last updated
06/17/2014
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