| NPI | 1922285881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS S GIANOLI Oral Maxillofacial Surgeon 860-828-3559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CT 4901) |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2008-01-23 |