| NPI | 1790343051 |
|---|---|
| Doing Business As | MADISON DENTAL SPA |
| Entity Type | Organization |
| Authorized Contact | MOUMEN ALMOUZAYN Dentist 203-245-5121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2019-06-03 |