Organization
SPECTRA DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE LATHURAS (OWNER)
(203) 757-8855
Entity
Organization
Contact information
Practice address
160 ROBBINS ST, WATERBURY, CT 06708-2652
(203) 757-8855
Mailing address
160 ROBBINS ST, WATERBURY, CT 06708-2652
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
008123
CT
Other
Enumeration date
05/09/2017
Last updated
05/09/2017
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