Basilica, Gwendolyn

Basilica, Gwendolyn is an individual health care provider with primary practice located at 1 Shaws Cv , New London CT 06320-4902. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Basilica, Gwendolyn can be contacted via phone (860) 444-0498.

Contact Information

Primary practice address
1 Shaws Cv New London CT 06320-4902
Phone: (860) 444-0498
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 002820 Connecticut

Profile Details

NPI number 1588652697
LBN Legal business name Basilica, Gwendolyn
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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