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Organization
ST. BERNARD DENTISTRY PLLC
Active
Organization
ST. BERNARD DENTISTRY PLLC
Active
Other names
Windsor Prosthodonic dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA ST. BERNARD DMD (MEMBER /OWNER)
(860) 751-2470
Entity
Organization
Contact information
Practice address
697 POQUONOCK AVE UNIT 7, WINDSOR, CT 06095-2249
(860) 219-0933
Mailing address
28 BRIGHTON DR, EAST GRANBY, CT 06026-9423
(860) 751-2470
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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