| NPI | 1114675352 |
|---|---|
| Doing Business As | AESTHETIC DENTISTRY AT MAGNOLIA VILLAGE |
| Entity Type | Organization |
| Authorized Contact | JONATHAN STUART LUDWIG Owner 203-710-6849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-03-16 |
| Last Update Date | 2022-03-16 |