NPI | 1881870590 |
---|---|
Doing Business As | ENFIELD FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | TRACEY A TOMASELLI Practice Manager 860-749-2225 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2008-01-11 |
Last Update Date | 2008-01-11 |