| NPI | 1053704445 |
|---|---|
| Doing Business As | PEDIATRIC DENTAL SEDATION SPECIALISTS OF CONNECTICUT |
| Entity Type | Organization |
| Authorized Contact | JESSICA LYNN LEVY Member 917-841-7780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0004X Dentist Dentist Anesthesiologist (Licence: CT 010495) |
| Additional Taxonomies | 1223E0200X Dentist Endodontics (Licence: CT 005945) |
| 1223P0221X Dentist Pediatric Dentistry (Licence: CT 010473) | |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2015-08-17 |