NPI | 1730199407 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD DELFINI President 203-787-4770 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CT 7947) |
Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: CT 4265) |
Enumeration Date | 2006-08-08 |
Last Update Date | 2020-08-22 |