NPI | 1972798338 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN SLATER ROZEN Dds President 203-235-6339 |
Organization Subpart ? | Yes |
Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: CT 3716) |
Enumeration Date | 2007-09-10 |
Last Update Date | 2007-09-10 |