Individual
NATASHA SELENE AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
47 TOWN ST, NORWICH, CT 06360-2315
(860) 892-7042
(860) 892-7043
Mailing address
47 TOWN ST, NORWICH, CT 06360-2315
(860) 892-7042
(860) 892-7043
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
006720
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004236106
—
CT
Enumeration date
10/13/2009
Last updated
10/13/2009
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