| NPI | 1104183409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH R HOWARD Oral Surgeon 860-586-8507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2014-02-18 |