Organization
KENNETH M. LARO DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH MICHAEL LARO DMD (OWNER)
(860) 649-5675
Entity
Organization
Contact information
Practice address
153 MAIN ST STE 11, MANCHESTER, CT 06042-3112
(860) 649-5675
Mailing address
153 MAIN ST STE 11, MANCHESTER, CT 06042-3112
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
007367
CT
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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