Most Relevant Information
Provider Data
| NPI Number: | 1003177502 |
| Provider Name: | COLLEEN RUBANO R.D.H. |
| Entity Type: | Individual |
| Taxonomy Code: | 124Q00000X |
| Specialty: | Dental Hygienist |
| License Number: | 005848 |
Most Important Dates
| Enumeration Date: | 05/31/2012 |
| Last Updated: | 05/31/2012 |
Provider Practice Location
58 PATTON DR
CHESHIRE
CT
064104232
Practice Location Phone/Fax
| Phone: | 2036409231 |
| Fax: |
Provider Mailing Location
58 PATTON DRIVE
CHESHIRE
CT
064104232
Provider Mailing Phone/Fax
| Phone: | 2036409231 |
| Fax: |