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KELLY JEAN AITCHISON RDH
>> Dental Hygienist >> Dental ProvidersRegistrant NPI Number: 1386917086
Individual Registrant: KELLY JEAN AITCHISON RDH
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
2 TARBELL AVE OAKVILLE, CT 06779-1620 US
Tel: 860-417-2125 Fax: --
Tel: 860-417-2125 Fax: --
Contact information for business:
2 TARBELL AVE OAKVILLE, CT 06779-1620 US
Tel: 860-417-2125 Fax: --
Tel: 860-417-2125 Fax: --
Registration Information:
NPI: 1386917086
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 124Q00000X | Dental Providers Dental Hygienist | CT | 006870 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
