| NPI | 1447202593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A ROSSETTI President 860-253-9298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: CT 007472) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2009-04-27 |