NPI | 1740225317 |
---|---|
Doing Business As | COLUMBIA DENTAL |
Entity Type | Organization |
Authorized Contact | ABBAS MOHAMMADI Owner/Dentist 860-645-0111 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 008514) |
Enumeration Date | 2006-06-18 |
Last Update Date | 2020-08-22 |