| NPI | 1003147596 |
|---|---|
| Doing Business As | ADVANCED DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | RICHARD P LASNIER President 860-289-4080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 5750) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CT 7248) |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2010-01-22 |