Kiernan, Lana Thibodeau

Kiernan, Lana Thibodeau is an individual health care provider with primary practice located at 397 New Britain Ave , Hartford CT 06106-3833. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Kiernan, Lana Thibodeau can be contacted via phone (860) 247-1021.

Contact Information

Primary practice address
397 New Britain Ave Hartford CT 06106-3833
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 004491 Connecticut

Profile Details

NPI number 1093703225
LBN Legal business name Kiernan, Lana Thibodeau
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Jul 8th, 2007 - about 17 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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