Individual
DR. ROBERT FC LAROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
357 MAIN ST S, POB 593, WOODBURY, CT 06798-3408
(203) 263-5575
Mailing address
PO BOX 593, 357 MAIN ST SOUTH, WOODBURY, CT 06798-0593
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6617
CT
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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