| NPI | 1235620774 |
|---|---|
| Doing Business As | LIFE LONG DENTAL CARE OF OLD SAYBROOK |
| Entity Type | Organization |
| Authorized Contact | ANDREW MATTA Cmo/Owner 724-698-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2018-05-21 |