NPI | 1861779373 |
---|---|
Doing Business As | JOHN D. MICHALAK FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | JOHN MICHALAK Dentist 203-488-6553 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CT 009451) |
Enumeration Date | 2011-11-11 |
Last Update Date | 2011-11-14 |