Individual
LAWRENCE DELIBERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
17 1/2 ELM ST, NEW CANAAN, CT 06840-5502
(203) 966-1210
(203) 972-3590
Mailing address
17 1/2 ELM ST, NEW CANAAN, CT 06840-5502
(203) 966-1210
(203) 972-3590
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
6913
CT
Other
Enumeration date
12/21/2007
Last updated
12/21/2007
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