| NPI | 1457542664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J SAFIAN Owner 203-925-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CT 008660) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |