Individual
JENNIFER I SICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
21 GRAND STREET, HARTFORD, CT 06106
(860) 550-7500
(860) 550-7501
Mailing address
21 GRAND ST, HARTFORD, CT 06106-1541
(860) 550-7500
(860) 550-7501
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
006227
CT
Other
Enumeration date
03/19/2008
Last updated
03/19/2008
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