NPI | 1083801427 |
---|---|
Doing Business As | DANBURY PUBLIC SCHOOL DENTAL PROGRAM |
Entity Type | Organization |
Authorized Contact | KIM DOAN Dental Services Coordinator 203-790-2812 |
Organization Subpart ? | No |
Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: CT 8431) |
Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: CT 9825) |
124Q00000X Dental Hygienist (Licence: CT 004700) | |
124Q00000X Dental Hygienist (Licence: CT 005986) | |
124Q00000X Dental Hygienist (Licence: CT 002145) | |
1223D0001X Dentist, Dental Public Health (Licence: CT 9322) | |
Enumeration Date | 2007-10-01 |
Last Update Date | 2011-09-28 |