Organization
RONALD B HERRIOTT DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LONNIE LAGASSE (OFFICE MANAGER)
(860) 523-6549
Entity
Organization
Contact information
Practice address
259 FARMINGTON AVE, BRISTOL, CT 06010-3969
(860) 583-6549
(860) 528-1547
Mailing address
259 FARMINGTON AVE, BRISTOL, CT 06010-3969
(860) 583-6549
(860) 528-1547
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
004732
CT
Other
Enumeration date
01/10/2012
Last updated
02/17/2012
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