NPI | 1013629369 |
---|---|
Doing Business As | WINDSOR PROSTHODONIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | LISA ST. BERNARD Member /Owner 860-751-2470 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2022-12-19 |
Last Update Date | 2022-12-19 |