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Dr. Lucas Cardinal Da Silva, DDS, MDS

Student in an Organized Health Care Education/Training Program in Farmington, CT. Individual provider (NPI-1).

NPI number1063764355
StatusActive
Last updated in NPPESOct 10, 2012

Details

NPI
1063764355
Entity type
Individual (NPI-1)
Name
Dr. Lucas Cardinal Da Silva
Credential
DDS, MDS
Sex
Male
Sole proprietor
No
Enumeration date
Oct 10, 2012
Last updated
Oct 10, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

263 Farmington Ave
Farmington, CT 06030-0001

Phone 860-679-2000

Mailing address

8 Lakeshore Dr
B3
Farmington, CT 06032-1247

Phone 860-380-0866

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