NPI | 1114815776 |
---|---|
Entity Type | Organization |
Authorized Contact | MAGGIE JEAN MCCLAIN Transitions/Operations Manager 860-269-0628 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2025-06-24 |
Last Update Date | 2025-06-24 |