Individual
MS. SHALEAH LOUISE SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
469 MIGEON AVE, TORRINGTON, CT 06790-4643
(860) 489-0931
Mailing address
469 MIGEON AVE, TORRINGTON, CT 06790-4643
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
13.008646
CT
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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