Individual
MRS. COLLISHA SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
141 FRANKLIN ST, STAMFORD, CT 06901-1014
(203) 969-0802
Mailing address
141 FRANKLIN ST, STAMFORD, CT 06901-1014
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
055237-1
NY
1223G0001X
General Practice Dentistry
Primary
10444
CT
Other
Enumeration date
09/04/2010
Last updated
04/15/2015
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