Individual
KRISTA MYRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 HEMINGWAY AVE, EAST HAVEN, CT 06512-3000
(203) 469-5644
(203) 469-1067
Mailing address
757 CONGDON ST W, MIDDLETOWN, CT 06457-1902
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
008016
CT
Other
Enumeration date
02/24/2023
Last updated
02/24/2023
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