| NPI | 1518265859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD JOSEPH ROSSETTI Owner 6625-345-8626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 1992-82) |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2011-03-10 |