NPI | 1194003046 |
---|---|
Doing Business As | WE CARE FAMILY DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | EMMETT ETON WILSON Dentist/Owner 860-727-8146 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 122300000X Dentist (Licence: CT 010493) |
122300000X Dentist (Licence: CT 5498) | |
Enumeration Date | 2011-07-26 |
Last Update Date | 2011-07-26 |