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DR. LAURA JEAN GAGNON DMD

Orthodontics and Dentofacial Orthopedics >> Dentist >> Dental Providers

Registrant NPI Number: 1518020239

Individual Registrant:
DR. LAURA JEAN GAGNON DMD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
248 E MAIN ST  CLINTON, CT 06413-2230 US
Tel: 860-669-1616  Fax: 860-669-4525

Contact information for business:
248 EAST MAIN STREET  CLINTON, CT 06413 US
Tel: 860-669-1616  Fax: 860-669-4525

Registration Information:
NPI: 1518020239
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223X0400XDental Providers
Dentist
Orthodontics and Dentofacial Orthopedics
CT007543

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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