Individual
LAXMI GURUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
141 FRANKLIN ST, STAMFORD, CT 06901-1014
(203) 969-0802
(203) 326-2990
Mailing address
635 MAIN ST, ATTN: CREDENTIALING DEPT, MIDDLETOWN, CT 06457-2718
(860) 347-6971
(860) 638-6601
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
007124
CT
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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