Organization
MYOLOGY OROFACIAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN MARIE QUARANTA RDH, MS, COM (CERTIFIED OROFACIAL MYOLOGIST)
(203) 451-3780
Entity
Organization
Contact information
Practice address
44 OLD RIDGEFIELD RD, WILTON, CT 06897-3055
(203) 451-3780
Mailing address
250 THUNDER LAKE RD, WILTON, CT 06897-1339
(203) 451-3780
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
005750
CT
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/22/2018
Last updated
08/11/2021
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