| NPI | 1790333672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN NOEL ZUNIGA Surgeon 203-804-3023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2019-09-03 |