Organization
SUFFIELD VILLAGE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE ALBERT DDS (PRESIDENT)
(860) 668-4431
Entity
Organization
Contact information
Practice address
215 SUFFIELD VLG, SUFFIELD, CT 06078-2122
(860) 668-4431
Mailing address
215 SUFFIELD VLG, SUFFIELD, CT 06078-2122
(860) 668-4431
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4137
CT
Other
Enumeration date
02/12/2007
Last updated
08/22/2020
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