| NPI | 1487146569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY MAY Oral And Maxillofacial Surgeon 203-506-5153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: CA DDS100066) |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2018-06-04 |