LAWRENCE HENRY SPROUSE

FAIRFIELD, CT
NPI1033234554
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CT  4035)
Enumeration Date2007-03-21
Last Update Date2007-07-08
Business Address
Dr. LAWRENCE HENRY SPROUSE D.M.D.
2452 BLACK ROCK TPKE SUITE 12
FAIRFIELD, CT 06825-2407
Phone number: 203-374-3886
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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