Individual
JILL RATCLIFFE QUAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
1750 MAIN ST, SAND SCHOOL DENTAL CLINIC, HARTFORD, CT 06120-2312
(860) 695-5056
Mailing address
31 SPRING GLEN DR, GRANBY, CT 06035-2624
(860) 305-5410
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
02899
CT
Other
Enumeration date
11/07/2012
Last updated
11/07/2012
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