Individual
DR. IRA LEROY CANTNER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
97 ELM ST, OLD SAYBROOK, CT 06475-4106
(860) 388-4439
(860) 388-4493
Mailing address
1 BAYBERRY RIDGE RD, OLD LYME, CT 06371-1302
(860) 434-8663
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
5330
CT
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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