Individual
MRS. KATHLEEN FLYNN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
70 MAIN ST, DANBURY, CT 06810-7832
(203) 791-5010
Mailing address
70 MAIN ST, DANBURY, CT 06810-7832
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3620
CT
Other
Enumeration date
06/22/2017
Last updated
06/22/2017
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