| NPI | 1275879850 |
|---|---|
| Doing Business As | LIFETIME DENTAL |
| Entity Type | Organization |
| Authorized Contact | FRANK MICHITTI Owner 860-255-7162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN1856128) |
| Enumeration Date | 2012-12-30 |
| Last Update Date | 2012-12-30 |