James D Affenito, DMD Valid NPI
Individual provider · Oral and Maxillofacial Surgery (Dentist) · Bristol, CT
- NPI
- 1164517033
- Type
- Individual (Type 1)
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist) (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223S0112X
- License number
- 7490 (CT)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-10-04
- Last updated
- 2008-01-14
Practice location
391 Main St
Bristol, CT 06010-5848
(860) 589-1055