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1043427925
LANCE ERIC BANWELL
WOODBURY, CT
NPI
1043427925
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CT 05392)
Enumeration Date
2007-05-17
Last Update Date
2007-07-08
Business Address
Dr. LANCE ERIC BANWELL DDS
387 MAIN ST S
WOODBURY, CT 06798-3412
Phone number: 203-263-5300
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Mailing Address
Dr. LANCE ERIC BANWELL DDS
387 MAIN ST S
WOODBURY, CT 06798-3412
Phone number: 203-263-5300
Copy
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