| NPI | 1003835935 |
|---|---|
| Other Name | SIEFERT & FORD FAMILY COMMUNITY HEALTH CENTER DENTAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | BRENDA PLAAG Chief Privacy Officer 203-739-6430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CT 0039) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |