NPI | 1912650045 |
---|---|
Doing Business As | FAIRFIELD DENTAL ARTS |
Entity Type | Organization |
Authorized Contact | JESSALYN FORELLA Owner Dentist 203-254-3780 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2022-01-29 |
Last Update Date | 2022-01-29 |