Individual
TAYLOR KINGSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
165 MIDDLE TPKE W, MANCHESTER, CT 06040-4024
(860) 644-1095
Mailing address
131 SALEM DR, CROMWELL, CT 06416-1237
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
CT
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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