Individual
MS. LINDA ISIS PRIMUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH BSDH MHS
Contact information
Practice address
1302 S MAIN ST, WATERBURY, CT 06706-1748
(203) 756-8021
Mailing address
596 MIXVILLE RD, CHESHIRE, CT 06410-3833
(203) 272-6456
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
03157
CT
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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