Old Lyme Dental Associates LLC
NPI #1942443726 in Old Lyme, Connecticut
Provider Information
- NPI Number
- 1942443726
- Entity Type
- Organization
- Organization Name
- Old Lyme Dental Associates LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Apr 9, 2009
- Last Updated
- Apr 9, 2009
Practice Location
- Address
- 19 HALLS RD
- Address 2
- SUITE 218
- City
- Old Lyme
- State
- Connecticut
- ZIP Code
- 06371-1457
- Phone
- (860) 434-7378
Authorized Official
- Name
- JEFFREY B LAMURA, DDS
- Title
- DENTIST/OWNER
- Phone
- (860) 434-7378
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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