Search › Connecticut › 124Q00000X
Gwendolyn Basilica, RDH
NPI 1588652697 · on the registry since 2005
Practice
- Address
- 1 Shaws Cv
New London, CT 06320 - Phone
- (860) 444-0498
- Organisation at this address
- Community Health Center Inc
Community Health Center IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 48
Registry record
- Primary taxonomy
- 124Q00000X
124Q00000X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut