| NPI | 1366809386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH SCIARRINO President 203-967-3707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: CT 6901) |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-01-21 |