Gwendolyn Basilica, RDH

NPI #1588652697 in New London, Connecticut

Provider Information

NPI Number
1588652697
Entity Type
Individual
Name
Gwendolyn Basilica, RDH
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dental Hygienist
Credential
RDH
Enumeration Date
Oct 12, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
1 SHAWS CV
ZIP Code
06320-4902
Phone
(860) 444-0498

Specialties & Taxonomy Codes

Specialty
Dental Hygienist

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