| NPI | 1952027153 |
|---|---|
| Doing Business As | CONNECTICUT ENDODONTICS ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | LEAH ANN MAYLOTT Credentialing Administrator 860-874-8198 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2022-10-18 |