St.Bernard, Lisa

St.Bernard, Lisa is an sole proprietor health care provider with primary practice located at 697 Poquonock Ave. , Windsor CT 06095. She recently has only one registered license in Dental Providers / Prosthodontics, which is considered as her primary health care specialty. St.Bernard, Lisa can be contacted via phone (860) 751-2470.

Contact Information

Primary practice address
697 Poquonock Ave. Windsor CT 06095
Phone: (860) 751-2470
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Prosthodontics 1223P0700X 12675 Connecticut

Profile Details

NPI number 1275166712
LBN Legal business name St.Bernard, Lisa
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 12th, 2020
Last updated Feb 12th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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