Individual
CHRISTINE L. TIERNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
40 E PUTNAM AVE, VALLEYWOOD MEDICAL BUILDING, COS COB, CT 06807-2600
(203) 869-5400
(203) 869-0574
Mailing address
40 E PUTNAM AVE, VALLEYWOOD MEDICAL BUILDING, COS COB, CT 06807-2600
(203) 869-5400
(203) 869-0574
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7088
CT
Other
Enumeration date
06/05/2012
Last updated
06/05/2012
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