Individual
MRS. MISTY MASOTTI-DIAKON
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
Mailing address
201 HULL ST, BRISTOL, CT 06010-7236
(860) 212-7787
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
006077
CT
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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