NPI | 1518221092 |
---|---|
Other Name | MENDILLO FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | JAMES H MENDILLO Owner 203-488-6314 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 486500) |
Enumeration Date | 2012-06-28 |
Last Update Date | 2012-06-28 |