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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