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Enio Gomez, RDH

Dental Hygienist in New Haven, CT. Individual provider (NPI-1).

NPI number1720535545
StatusActive
Last updated in NPPESOct 7, 2016

Details

NPI
1720535545
Entity type
Individual (NPI-1)
Name
Enio Gomez
Credential
RDH
Sex
Male
Sole proprietor
No
Enumeration date
Sep 9, 2016
Last updated
Oct 7, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
124Q00000X Dental Hygienist7865CTYes

Practice location

428 Columbus Ave
New Haven, CT 06519-1233

Phone 203-503-3040 · Fax 203-503-3187

Mailing address

400 Columbus Ave
New Haven, CT 06519-1233

Phone 203-503-3174 · Fax 203-503-3183

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