Whalio Doctors

NPI 1174718761

Marta Husted, RDH

Practitioner Dental Hygienist Middletown, CT

Practice location

Address
635 Main St, Middletown, CT 06457-2718
Phone
(860) 347-6971
Fax
(860) 638-6601
Mailing address
635 Main St Attn: Credentialing Department, Middletown, CT 06457-2718

Registered specialties

Dental Hygienist Primary
Dental Providers Taxonomy 124Q00000X Licence 004057 (CT)

Registry record

NPI
1174718761
Entity type
Individual
Sex (as registered)
Female
NPI issued
7 Sep 2007
Record last updated
7 Sep 2007

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.