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Individual

DR. RAQUEL NICOLE MANLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
98 WEST ST, LITCHFIELD, CT 06759-3500
(860) 567-8684
Mailing address
6 CENTER ST, TARIFFVILLE, CT 06081-9662
(339) 224-1100

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12727
CT
390200000X
Student in an Organized Health Care Education/Training Program
12207
CT

Other

Enumeration date
03/16/2018
Last updated
10/12/2020
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