Individual
TRACY M GRATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
1315 MAIN ST, WILLIMANTIC, CT 06226-1948
(860) 450-7471
(860) 450-7396
Mailing address
1315 MAIN ST, WILLIMANTIC, CT 06226-1948
(860) 450-7471
(860) 450-7396
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
7562
CT
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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