NPI | 1417200932 |
---|---|
Doing Business As | COMPASSION DENTAL |
Entity Type | Organization |
Authorized Contact | JENNIFER A DIEDERICH Authorized Official 860-470-3660 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CT 7122) |
Enumeration Date | 2012-10-22 |
Last Update Date | 2023-01-30 |