Oral Surgery Associates, L.L.C Valid NPI

Organization · Oral and Maxillofacial Surgery (Dentist) · Bridgeport, CT

NPI

1184634313

Type

Organization (Type 2)

Primary specialty

Oral and Maxillofacial Surgery (Dentist) (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223S0112X

License number

4982 (CT)

Enumerated

2006-08-09

Last updated

2007-10-01