Individual
LEIGH-LYNN VITUKINAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
405 W WAKEFIELD BLVD, WINSTED, CT 06098-2955
(860) 379-1447
Mailing address
157 LITCHFIELD ST, TORRINGTON, CT 06790-6427
(860) 489-1328
(860) 489-4761
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
006620
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006620
DH LICENSE
CT
Enumeration date
03/21/2007
Last updated
07/08/2007
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