| NPI | 1235257148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD WARREN SKOPE President 203-865-0807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CT 005198) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |