NPI | 1265083554 |
---|---|
Former Legal Business Name | SMARTDENTAL MILFORD LLC |
Entity Type | Organization |
Authorized Contact | EDUARDO CORTES Dentist 203-878-1173 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2019-09-27 |
Last Update Date | 2019-09-27 |