Lasting Smiles of Prospect
NPI #1639722671 in Prospect, Connecticut
Provider Information
- NPI Number
- 1639722671
- Entity Type
- Organization
- Organization Name
- Lasting Smiles of Prospect
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jul 18, 2019
- Last Updated
- Jul 18, 2019
Practice Location
- Address
- 60 WATERBURY RD STE E
- City
- Prospect
- State
- Connecticut
- ZIP Code
- 06712-1251
- Phone
- (203) 527-3855
Authorized Official
- Name
- DR. EFRAIN AUGUSTO SOCARRAS
- Title
- DENTIST
- Phone
- (203) 527-3855
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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