Individual
GRETCHEN R. CIANCIOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSDH
Contact information
Practice address
12 NANTUCKET WAY, MIDDLEBURY, CT 06762
(203) 305-3795
Mailing address
12 NANTUCKET WAY, MIDDLEBURY, CT 06762-3348
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
004868
CT
Other
Enumeration date
03/01/2012
Last updated
03/01/2012
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