Individual
MADELINE ETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
64 MAPLE ST, PLAINVILLE, CT 06062-2296
(860) 747-2416
Mailing address
20 LAKE SHORE DR, MIDDLEFIELD, CT 06455-1053
(860) 329-7694
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
008639
CT
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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