| NPI | 1295217065 |
|---|---|
| Former Legal Business Name | AKRAM E. RAFLA DMD, PC |
| Doing Business As | NORTHEAST PERIODONTAL SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | LEAH ANN MAYLOTT Credentialing Administrator 860-874-8198 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2022-08-19 |