| NPI | 1811199458 |
|---|---|
| Former Legal Business Name | HAMDEN SHORELINE ORAL AND MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | DAVID P. SALOMON Owner 203-458-4450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2021-04-23 |