NPI | 1184364952 |
---|---|
Doing Business As | DWORKIN DENTAL |
Entity Type | Organization |
Authorized Contact | TRACEY CAPOBIANCO Practice Administrator 203-558-5622 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2022-03-30 |
Last Update Date | 2022-03-30 |