Individual
MRS. DEANNA TEDESCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
123 RIDGEWOOD AVE, STAMFORD, CT 06907-2620
(203) 977-5519
Mailing address
123 RIDGEWOOD AVE, STAMFORD, CT 06907-2620
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
005001
CT
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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