Organization
LIGHTHOUSE DENTAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SAMUELS (OWNER)
(203) 378-1566
Entity
Organization
Contact information
Practice address
88 RYDERS LN, STRATFORD, CT 06614-1666
(203) 378-1566
(203) 380-8390
Mailing address
88 RYDERS LN, STRATFORD, CT 06614-1666
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6758
CT
Other
Enumeration date
07/19/2007
Last updated
04/07/2014
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