| NPI | 1518657642 |
|---|---|
| Doing Business As | SOUTHERN CONNECTICUT DENTAL GROUP ANSONIA |
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANGELO SCIALABBA Chief Dental Officer 561-512-2709 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-05-11 |
| Last Update Date | 2023-05-11 |