| NPI | 1922292499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICCARDO IGNAZIO AMBROGIO President 860-257-6994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CT 007378) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2007-08-28 |