NPI | 1467085407 |
---|---|
Former Legal Business Name | AKRAM E. RAFLA |
Entity Type | Organization |
Authorized Contact | LEAH ANN MAYLOTT Credentialing Administrator 860-874-8198 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223P0300X Dentist, Periodontics |
Enumeration Date | 2020-02-18 |
Last Update Date | 2022-01-18 |