Individual
MARLENA WOLLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
240 STAFFORD AVE, BRISTOL, CT 06010-4682
(860) 584-7682
(860) 584-3814
Mailing address
33 MILLER RD, BURLINGTON, CT 06013-1710
(860) 416-8665
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
006684
CT
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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