Individual provider · Type 1 NPI

Lucas Cardinal Da Silva, DDS, MDS

Student in an Organized Health Care Education/Training Program · Farmington, CT

NPI number 1063764355 Active

Practice location

263 Farmington Ave
Farmington, CT 06030-0001

Mailing address

8 Lakeshore Dr, B3
Farmington, CT 06032-1247

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1063764355

Lucas Cardinal Da Silva, DDS, MDS's National Provider Identifier is 1063764355, issued on Oct 10, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Farmington, CT. The record was last updated on Oct 10, 2012.