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 |