NPI | 1316151798 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD J ROSATO Owner 603-225-0008 |
Organization Subpart ? | No |
Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: NH 3188) |
Enumeration Date | 2007-05-09 |
Last Update Date | 2012-08-14 |