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1033234554
LAWRENCE HENRY SPROUSE
FAIRFIELD, CT
NPI
1033234554
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: CT 4035)
Enumeration Date
2007-03-21
Last Update Date
2007-07-08
Business Address
DR. LAWRENCE HENRY SPROUSE D.M.D.
2452 BLACK ROCK TPKE SUITE 12
FAIRFIELD, CT 06825-2407
Phone number: 203-374-3886
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Mailing Address
DR. LAWRENCE HENRY SPROUSE D.M.D.
2452 BLACK ROCK TPKE STE 12
FAIRFIELD, CT 06825-2407
Phone number: 203-374-3886
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