NPI | 1700364866 |
---|---|
Doing Business As | NEWTON CENTRE DENTAL |
Entity Type | Organization |
Authorized Contact | LEAH ANN MAYLOTT Credentialing Administrator 860-874-8198 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 122300000X Dentist |
Enumeration Date | 2018-08-01 |
Last Update Date | 2022-01-17 |