Organization
WESTCHESTER FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND E. LAWRENCE DMD (DENTIST)
(860) 267-8889
Entity
Organization
Contact information
Practice address
715 MIDDLETOWN RD, COLCHESTER, CT 06415-2236
(860) 267-8889
Mailing address
715 MIDDLETOWN RD, COLCHESTER, CT 06415-2236
(860) 267-8889
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
008642
CT
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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