NPI | 1174736920 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL R. SAUNDERS President 860-647-9926 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2007-05-08 |
Last Update Date | 2024-05-15 |