Individual
ELIZABETH BOIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94 CONNECTICUT BLVD, EAST HARTFORD, CT 06108-3013
(845) 664-4867
Mailing address
76 ELM ST, ANSONIA, CT 06401-3310
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2.011197
CT
1223G0001X
General Practice Dentistry
Primary
11197
CT
Other
Enumeration date
07/09/2014
Last updated
07/15/2015
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