| Lasting Smiles Of Prospect | |
|
60 Waterbury Rd Ste E Prospect CT 06712-1251 | |
| (203) 527-3855 | |
| (203) 528-4385 |
| Full Name | Lasting Smiles Of Prospect |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 60 Waterbury Rd Ste E, Prospect, Connecticut |
| Authorized Official Name and Position | Efrain Augusto Socarras (DENTIST) |
| Authorized Official Contact | 2035273855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lasting Smiles Of Prospect 60 Waterbury Rd Ste E Prospect CT 06712-1251 Ph: (203) 527-3855 | Lasting Smiles Of Prospect 60 Waterbury Rd Ste E Prospect CT 06712-1251 Ph: (203) 527-3855 |
| NPI Number | 1639722671 |
|---|---|
| Provider Enumeration Date | 07/18/2019 |
| Last Update Date | 07/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639722671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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