NPI | 1750809091 |
---|---|
Doing Business As | ROLLING HILLS DENTISTRY |
Entity Type | Organization |
Authorized Contact | BLAKE WINOKUR Owner 203-743-0783 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 10185) |
Enumeration Date | 2017-09-07 |
Last Update Date | 2022-07-21 |