| NPI | 1255027850 |
|---|---|
| Doing Business As | FIRST LINE DENTAL |
| Entity Type | Organization |
| Authorized Contact | RAYMOND BELISLE COO 860-978-3294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-04-17 |
| Last Update Date | 2023-04-17 |