NPI | 1972511772 |
---|---|
Doing Business As | SPADOLA & VINCENT DMD |
Entity Type | Organization |
Authorized Contact | CARL J SPADOLA Owner Dentist 203-272-9694 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CT 6052) |
Additional Taxonomies | 122300000X Dentist (Licence: CT 9505) |
Enumeration Date | 2006-08-04 |
Last Update Date | 2009-12-31 |