NPI 1003563842

Estheffy Gonzalez Pantaleon

Practitioner Dental Hygienist New Haven, CT

Practice location

Address: 50 Grand Ave, New Haven, CT 06513-3949
Phone: (203) 777-7411

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 009362 (CT)

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Registry record

NPI: 1003563842
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Mar 2022
Record last updated: 2 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.