# SPECTRA DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437685674
- **Authorized official:** CHRISTINE LATHURAS (OWNER)
- **Authorized official phone:** (203) 757-8855

## Contact information

- **Practice address:** 160 ROBBINS ST, WATERBURY, CT 06708-2652
- **Practice address phone:** (203) 757-8855
- **Mailing address:** 160 ROBBINS ST, WATERBURY, CT 06708-2652

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 008123 | CT | Yes |

## Other

- **Enumeration date:** 05/09/2017
- **Last updated:** 05/09/2017
