Bianca Lastra
NPI #1851976674 in Woodbridge, Connecticut
Provider Information
- NPI Number
- 1851976674
- Entity Type
- Individual
- Name
- Bianca Lastra
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 12, 2021
- Last Updated
- Jun 29, 2022
Practice Location
- Address
- 3 RESEARCH DR STE B
- City
- Woodbridge
- State
- Connecticut
- ZIP Code
- 06525-2345
- Phone
- (203) 409-2535
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Dentist - General Practice — General Practice |
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