NPI | 1033254602 |
---|---|
Entity Type | Organization |
Authorized Contact | WENDY MENDLINGER President 860-728-6668 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2007-02-21 |
Last Update Date | 2008-06-25 |