Individual
STUART R. LIFTIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
10 PRINCETON ST, WEST HARTFORD, CT 06110-1893
(860) 232-8466
Mailing address
10 PRINCETON ST, WEST HARTFORD, CT 06110-1893
(860) 232-8466
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5649
CT
1223G0001X
General Practice Dentistry
Primary
5649
CT
Other
Enumeration date
05/23/2005
Last updated
10/17/2013
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