Individual
MS. MELISSA BOURDEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
63 BEAVER BROOK RD, DANBURY PUBLIC SCHOOL DENTAL PROGRAM, DANBURY, CT 06810-6211
(203) 792-2812
(203) 792-2612
Mailing address
63 BEAVER BROOK RD, DANBURY PUBLIC SCHOOL DENTAL PROGRAM, DANBURY, CT 06810-6211
(203) 792-2812
(203) 792-2612
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
004700
CT
Other
Enumeration date
11/06/2007
Last updated
11/06/2007
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