| NPI | 1477707081 |
|---|---|
| Former Legal Business Name | ROSENLICHT ORAL SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | RYAZ ANSARI President 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 | 2021-06-02 |