Provider Demographics
NPI:1376794024
Name:PARICO, LIA MARIE (DDS)
Entity Type:Individual
Prefix:DR
First Name:LIA
Middle Name:MARIE
Last Name:PARICO
Suffix:
Gender:F
Credentials:DDS
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Mailing Address - Street 1:392 SALEM TPKE
Mailing Address - Street 2:CHILDREN'S DENTAL ASSOCIATES OF NEW LONDON COUNTY, PC
Mailing Address - City:BOZRAH
Mailing Address - State:CT
Mailing Address - Zip Code:06334-1519
Mailing Address - Country:US
Mailing Address - Phone:860-886-5576
Mailing Address - Fax:
Practice Address - Street 1:392 SALEM TPKE
Practice Address - Street 2:CHILDREN'S DENTAL ASSOCIATES OF NEW LONDON COUNTY, PC
Practice Address - City:BOZRAH
Practice Address - State:CT
Practice Address - Zip Code:06334-1519
Practice Address - Country:US
Practice Address - Phone:860-886-5576
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-30
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0100851223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry