NPI | 1902589922 |
---|---|
Doing Business As | ADVANCED DENTISTRY OF CONNECTICUT |
Entity Type | Organization |
Authorized Contact | MOHAMED ELNAZER Dentist 203-375-1649 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2023-08-08 |
Last Update Date | 2024-04-23 |