Individual
MYRIAM H RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
982 E MAIN ST, BRIDGEPORT, CT 06608-1913
(203) 696-3260
Mailing address
29 HOWARD AVE, ANSONIA, CT 06401-2209
(203) 685-0701
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
007543
CT
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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