Individual
JUDITH ANN NIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
85 BARNES RD, SUITE 207, WALLINGFORD, CT 06492-1832
(203) 678-1201
(203) 678-1209
Mailing address
888 WORCESTER ST, SUITE 130, WELLESLEY, MA 02482-3744
(617) 964-6681
(339) 686-2561
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
002141
CT
Other
Enumeration date
04/18/2011
Last updated
09/06/2012
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