DR. Jessie Richter Stasulis, D.M.D.
NPI #1831350719 in Terryville, Connecticut
Provider Information
- NPI Number
- 1831350719
- Entity Type
- Individual
- Name
- DR. Jessie Richter Stasulis, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- Jun 23, 2008
- Last Updated
- Jul 31, 2012
Practice Location
- Address
- 14 MAPLE ST
- City
- Terryville
- State
- Connecticut
- ZIP Code
- 06786-5220
- Phone
- (860) 583-3582
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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