Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | 7203 | CT |
NPI | 1083000871 |
---|---|
Provider Name | Erica Troxler-Barrett |
First Address | New Haven, CT 06511 |
Second Address | New Haven, CT 06511-1463 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2015 |
Last Update Date | 23/05/2017 |