Individual
EMILY JEAN PIETRUCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1173 WHIPPLE ST, NEWPORT, RI 02841-1632
(401) 841-2542
Mailing address
15 STONEHEDGE DR, BENNINGTON, VT 05201-2360
(802) 733-7162
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
016.0132180
VT
Other
Enumeration date
07/30/2017
Last updated
11/29/2021
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