Organization
ORAL AND MAXILLOFACIAL SURGEONS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HARRIET LOUISE SPERLING (BUSINESS ADMINISTRATOR)
(860) 347-6939
Entity
Organization
Contact information
Practice address
80 S MAIN ST, MIDDLETOWN, CT 06457-3648
(860) 347-6939
(860) 347-7933
Mailing address
80 S MAIN ST, MIDDLETOWN, CT 06457-3648
(860) 347-6939
(860) 347-7933
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D04158
CT
Other
Enumeration date
05/16/2007
Last updated
09/06/2007
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