Individual
LISA D TREPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
90 MORGAN STREET, SUITE 305, STAMFORD, CT 06905
(203) 357-0600
Mailing address
90 MORGAN STREET, SUITE 305, STAMFORD, CT 06905
(203) 357-0600
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
6484
CT
Other
Enumeration date
08/20/2007
Last updated
10/18/2007
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