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MRS. DOROTHY S RIDEOUT R.D.H.

>> Dental Hygienist >> Dental Providers

Registrant NPI Number: 1497804660

Individual Registrant:
MRS. DOROTHY S RIDEOUT R.D.H.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
20A LIBERTY DR.  HEBRON, CT 06248 US
Tel: 860-228-7878  Fax: --

Contact information for business:
PO BOX 752  HEBRON, CT 06248-0752 US
Tel: 860-228-7878  Fax: --

Registration Information:
NPI: 1497804660
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y124Q00000XDental Providers
Dental Hygienist
CT004303

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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