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Bianca Lastra
General Practice Dentistry in Woodbridge, Connecticut
NPI 1851976674

Bianca Lastra is a General Practice Dentistry based in Hamden, CT and is specialized in General Practice. Bianca Lastra practices in Woodbridge, CT. The NPI Number for Bianca Lastra is 1851976674 and holds a License No. (Connecticut).

The current practice location address for Bianca Lastra is 3 Research Dr Ste B, Woodbridge, CT and can be reached out via phone at 203-409-2535.

Location: 3 Research Dr Ste B, Woodbridge, CT, 06514-1822
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851976674
Provider Name
Bianca Lastra
Credential
Provider Entity Type
Individual
Gender
Female
Address
3 Research Dr Ste B, Woodbridge, CT, 06514-1822
Phone Number
203-409-2535
Fax Number
Provider Enumeration Date
03/12/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3 Research Dr Ste B
City
Woodbridge
State
Connecticut
Zip
06525-2345
Phone Number
203-409-2535
Fax Number
person
Provider Business Mailing Address Details
Address
3 Research Dr Ste B
City
Woodbridge
State
Connecticut
Zip
06525-2345
Phone Number
203-409-2535
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
13263 (Connecticut)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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