GWENDOLYN BASILICA

NEW LONDON, CT
NPI1588652697
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: CT  002820)
Enumeration Date2005-10-12
Last Update Date2007-07-08
Business Address
-- GWENDOLYN BASILICA RDH
1 SHAWS CV
NEW LONDON, CT 06320-4902
Phone number: 860-444-0498
Mailing Address
-- GWENDOLYN BASILICA RDH
54 GARDNER AVE
NEW LONDON, CT 06320-4313
Phone number:
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