West Hartford Maxillofacial Surgery, Pc Valid NPI

Organization · Oral and Maxillofacial Surgery (Dentist) · West Hartford, CT

NPI

1407051238

Type

Organization (Type 2)

Primary specialty

Oral and Maxillofacial Surgery (Dentist) (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223S0112X

License number

008367 (CT)

Enumerated

2007-06-20

Last updated

2007-07-23