Organization
NORTHHAVENFAMILYDENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAKSHMI BETHI DMD (GENERAL DENTIST)
(215) 421-7576
Entity
Organization
Contact information
Practice address
323 UNIVERSAL DR N, NORTH HAVEN, CT 06473-3154
(215) 421-7576
Mailing address
25 LEXIE LANE, SOUTHWINDSOR, CT 06074
(215) 421-7576
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
010930
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010930
—
CT
Enumeration date
01/25/2017
Last updated
01/25/2017
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