Individual
MRS. PATRICIA SUE CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
359 FARMINGTON AVE, PLAINVILLE, CT 06062-1322
(860) 747-5761
Mailing address
170 FAIR ST, BRISTOL, CT 06010-5532
(860) 582-7614
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
004678
CT
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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