NPI | 1801446869 |
---|---|
Doing Business As | RACCIO & DREW DENTAL GROUP, LLC |
Entity Type | Organization |
Authorized Contact | GREGORY A TOBACK Owner 860-443-2428 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2019-09-12 |
Last Update Date | 2019-09-12 |