Individual
MRS. TRACY LEEANN MOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED DENTAL HY
Contact information
Practice address
359 FARMINGTON AVE, CENTRAL CONNECTICUT DENTAL GROUP, PLAINVILLE, CT 06062-1322
(860) 747-5761
(860) 747-6964
Mailing address
69 EASTBROOK TERRACE, BERLIN, CT 06037-2287
(860) 829-2724
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
006199
CT
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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