| Lighthouse Dental Care, Llc | |
|
88 Ryders Ln Stratford CT 06614-1666 | |
| (203) 378-1566 | |
| (203) 380-8390 |
| Full Name | Lighthouse Dental Care, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 88 Ryders Ln, Stratford, Connecticut |
| Authorized Official Name and Position | Mark Samuels (OWNER) |
| Authorized Official Contact | 2033781566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Dental Care, Llc 88 Ryders Ln Stratford CT 06614-1666 Ph: () - | Lighthouse Dental Care, Llc 88 Ryders Ln Stratford CT 06614-1666 Ph: (203) 378-1566 |
| NPI Number | 1427258300 |
|---|---|
| Provider Enumeration Date | 07/19/2007 |
| Last Update Date | 04/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427258300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6758 (Connecticut) | Primary |
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