Individual
MARYELLEN MCLOUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
11 W NORTH ST, STAMFORD, CT 06902-2217
(203) 977-6685
Mailing address
888 WASHINGTON BLVD, 8TH FLOOR, STAMFORD, CT 06901-2902
(203) 977-6685
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
003670
CT
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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