NPI | 1265794747 |
---|---|
Doing Business As | AURORA SONRISA DENTAL |
Entity Type | Organization |
Authorized Contact | MANISHA DESAI Dentist/ President 203-362-9987 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IL 019.027969) |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 019.027969) |
Enumeration Date | 2012-06-11 |
Last Update Date | 2015-11-16 |