NPI | 1215149596 |
---|---|
Former Legal Business Name | JOHN BIERLY DMD AND PETER J PETERSON DMD PC |
Entity Type | Organization |
Authorized Contact | JESSE M SORRENTINO Partner 860-677-8747 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CT 7255) |
Enumeration Date | 2007-05-07 |
Last Update Date | 2020-12-02 |