NPI | 1154960243 |
---|---|
Doing Business As | CONTEMPORARY GENERAL DENTISTRY, LLC |
Entity Type | Organization |
Authorized Contact | TANYA NGUYEN Office Manager 860-236-8000 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2020-01-06 |
Last Update Date | 2020-01-06 |