Individual
DR. VINCENT NICHOLAS LAPORTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
360 TOLLAND TPKE, SUITE 1-C, MANCHESTER, CT 06042-1771
(860) 646-1429
(860) 646-6897
Mailing address
360 TOLLAND TPKE, SUITE 1-C, MANCHESTER, CT 06042-1771
(860) 646-1429
(860) 646-6897
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
2823
RI
1223P0300X
Periodontics
9246
CT
1223P0300X
Periodontics
Primary
DEN02823
RI
Other
Enumeration date
04/26/2006
Last updated
06/25/2008
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