| NPI | 1629038062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN R KASHMANIAN President 860-928-7487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: CT 007615) |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2020-08-22 |