NPI | 1477707081 |
---|---|
Former Legal Business Name | ROSENLICHT ORAL SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | LISA HARRISON Manager 860-649-2272 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CT TCONTROLL2454) |
Enumeration Date | 2008-11-10 |
Last Update Date | 2025-09-04 |