Individual
MISS GWEN MARIE GROSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
419 BOSTON POST RD, WEST HAVEN, CT 06516-1918
(203) 479-4518
Mailing address
36 KEELER RD, BRIDGEWATER, CT 06752-1331
(860) 350-4768
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
003998
CT
Other
Enumeration date
11/09/2007
Last updated
11/09/2007
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