| NPI | 1942077235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ELIZABETH MCNEISH Partner 203-596-7788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| Enumeration Date | 2023-12-06 |
| Last Update Date | 2023-12-06 |