SOUTHINGTON ORAL & MAXILLOFACIAL SURGEONS, PC
Organization (NPI-2)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1457731135- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 256 N MAIN ST, SOUTHINGTON, CT, 064892524
- Phone
- (860) 276-0225
- Fax
- (860) 276-0368
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Primary License: CT #7302