Individual
RICHARD HOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
193 RIVER RD, #230, LISBON, CT 06351-3258
(860) 222-2937
Mailing address
193 RIVER RD, #230, LISBON, CT 06351-3258
(860) 222-2937
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11211
CT
Other
Enumeration date
07/02/2014
Last updated
05/05/2022
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