Individual
KAYLEIGH ELISABETH MARRIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H
Contact information
Practice address
2 RUBIN DR, RUSHVILLE, NY 14544-9681
(585) 554-6824
Mailing address
93 CAROLINE ST, CLYDE, NY 14433-1156
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
025210
NY
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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