Individual
MRS. SHEETHAL JOSEPH MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
49 SOUTH MAIN STREET, TORRINGTON, CT 06790
(860) 618-7444
Mailing address
23 STEVEN ST APT C, WEST HARTFORD, CT 06110-2613
(860) 778-2005
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
008599
CT
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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