SUZANNE IERNA

MIDDLETOWN, CT
NPI1720033558
Former NameSUZANNE SHOLLY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: CT  004166)
Enumeration Date2006-05-23
Last Update Date2007-07-08
Business Address
SUZANNE IERNA RDH
635 MAIN ST
MIDDLETOWN, CT 06457-2718
Phone number: 860-347-6971
Mailing Address
SUZANNE IERNA RDH
635 MAIN ST ATTN: CREDENTIALING DEPARTMENT
MIDDLETOWN, CT 06457-2718
Phone number: 860-347-6971