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Michaela Rose Matos, DMD
Student in an Organized Health Care Education/Training Program in Farmington, Connecticut
NPI 1043951809

Michaela Rose Matos is a Student in an Organized Health Care Education/Training Program based in Naugatuck, CT. Michaela Rose Matos practices in Farmington, CT and has the professional credentials of DMD. The NPI Number for Michaela Rose Matos is 1043951809 and holds a License No. 13414 (Connecticut).

The current practice location address for Michaela Rose Matos is 262 Farmington Ave, Farmington, CT and can be reached out via phone at 860-679-2000.

Location: 262 Farmington Ave, Farmington, CT, 06770-1552
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043951809
Provider Name
Michaela Rose Matos
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
262 Farmington Ave, Farmington, CT, 06770-1552
Phone Number
860-679-2000
Fax Number
Provider Enumeration Date
04/05/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
980657435 01 UNITED HEALTHCARE
institution
Provider Business Practice Location Address Details
Address
262 Farmington Ave
City
Farmington
State
Connecticut
Zip
06030-0001
Phone Number
860-679-2000
Fax Number
person
Provider Business Mailing Address Details
Address
262 Farmington Ave
City
Farmington
State
Connecticut
Zip
06030-0001
Phone Number
860-679-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
13414 (Connecticut)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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