NPI | 1710191366 |
---|---|
Doing Business As | MOZAIC SENIOR LIFE |
Entity Type | Organization |
Authorized Contact | SHEILA ROBINSON Ar Supervisor 203-396-1075 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2007-05-10 |
Last Update Date | 2024-08-14 |