NPI | 1417228503 |
---|---|
Entity Type | Organization |
Authorized Contact | ROGER A LOWLICHT Owner 203-234-8888 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CT 2063303) |
Enumeration Date | 2012-01-20 |
Last Update Date | 2012-01-20 |