Individual
ANA K DACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
49 DAY ST, NORWALK, CT 06854-4901
(203) 854-9292
Mailing address
93 PARK AVE APT 1006, DANBURY, CT 06810-7626
(203) 512-2106
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
006811
CT
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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