NPI | 1043470545 |
---|---|
Entity Type | Organization |
Authorized Contact | CRAIG C CLABAUGH Dentist/President/Owner 203-327-2540 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CT 006343) |
Additional Taxonomies | 122300000X Dentist (Licence: CT 007854) |
124Q00000X Dental Hygienist (Licence: CT 003309) | |
124Q00000X Dental Hygienist (Licence: CT 006381) | |
Enumeration Date | 2008-06-10 |
Last Update Date | 2008-06-10 |