NPI | 1033708656 |
---|---|
Doing Business As | GROTON DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | MICHAEL ANGELO SCIALABBA Chief Clinical Officer 561-512-2709 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2021-01-18 |
Last Update Date | 2021-06-21 |