| NPI | 1376304501 |
|---|---|
| Doing Business As | NEXT LEVEL DENTAL STUDIO |
| Entity Type | Organization |
| Authorized Contact | PERNELL MARCUS ROGERS Dentist 860-202-7049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2024-01-16 |