Individual
KARLA MARIA AHEARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL HYGIENIST
Contact information
Practice address
30 ELIZABETH STREET, SUITE 2, DENTAL DEPARTMENT, DERBY, CT 06418-1802
(203) 736-5460
(203) 736-5462
Mailing address
PO BOX 7720, CREDENTIALING SPECIALIST, NEW HAVEN, CT 06519-0720
(203) 503-3174
(203) 503-3183
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
7105
CT
Other
Enumeration date
08/25/2017
Last updated
08/25/2017
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