Individual
MISS GAIL ELIZABETH SELMON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
190 CORAM AVE, SHELTON, CT 06484-3347
(203) 924-4115
(203) 924-1301
Mailing address
15 HEATHER RDG, SHELTON, CT 06484-4682
(203) 929-8696
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
004585
CT
Other
Enumeration date
04/19/2006
Last updated
07/08/2007
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