NPI | 1851908958 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS SHANNON Dds 860-481-7631 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2020-09-23 |
Last Update Date | 2020-09-23 |