| NPI | 1437346632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD RICHARD MONTANO President 203-469-8057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CT 4184) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2007-10-02 |