Jasmin Henville Dmd - Libson PC

NPI #1912350299 in Lisbon, Connecticut

Provider Information

NPI Number: 1912350299
Entity Type: Organization
Organization Name: Jasmin Henville Dmd - Libson PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 21, 2016
Last Updated: Jul 21, 2016

Practice Location

Address: 193 RIVER RD STE 230
City: Lisbon
State: Connecticut
ZIP Code: 06351-3258
Phone: (860) 376-8800

Authorized Official

Name: CATHY CLUETT
Title: PROVIDER ENROLLMENT SPECIALIST
Phone: (315) 454-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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