| NPI | 1366610925 |
|---|---|
| Other Name | JOSE E. MADERA D.D.S.,P.C. |
| Entity Type | Organization |
| Authorized Contact | JOSE E MADERA Owner 203-576-1608 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 007930) |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2008-02-18 |