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 Speciality (Licence: CT 010495) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CT 010473) |
1223E0200X Dentist, Endodontics (Licence: CT 005945) | |
Enumeration Date | 2015-03-10 |
Last Update Date | 2015-08-17 |