Individual
DR. LAUREN MENTASTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MPH
Contact information
Practice address
32 E MAIN ST, AVON, CT 06001-3843
(860) 678-1140
Mailing address
32 E MAIN ST, AVON, CT 06001-3843
(860) 678-1140
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
010045
CT
1223G0001X
General Practice Dentistry
Primary
010045
CT
Other
Enumeration date
06/17/2009
Last updated
04/20/2016
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