Individual
DR. GEORGE WAYNE HETSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
70 MAPLE ST., KENT, CT 06757-0040
(860) 927-3577
(860) 927-3579
Mailing address
PO BOX 40, 70 MAPLE ST., KENT, CT 06757-0040
(860) 927-3577
(860) 927-3579
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6845
CT
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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