NPI | 1609982552 |
---|---|
Doing Business As | CENTER DENTAL OFFICE |
Entity Type | Organization |
Authorized Contact | SHERYL CUSANNO Dental Administrator 860-523-4239 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice |
Enumeration Date | 2006-08-22 |
Last Update Date | 2020-08-22 |