Keene, Raeven B

Keene, Raeven B is an sole proprietor health care provider with primary practice located at 80 Phoenix Ave , Waterbury CT 06702-1418. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Keene, Raeven B can be contacted via phone (203) 756-8021.

Contact Information

Primary practice address
80 Phoenix Ave Waterbury CT 06702-1418
Phone: (203) 756-8021
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 008937 Connecticut

Profile Details

NPI number 1356996920
LBN Legal business name Keene, Raeven B
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2019
Last updated Aug 9th, 2019 - about 6 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.

Request for update

Popular Providers