Oral and Maxillofacial Surgical Associates, PC

NPI #1063700037 in New Haven, Connecticut

Provider Information

NPI Number
1063700037
Entity Type
Organization
Organization Name
Oral and Maxillofacial Surgical Associates, PC
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Jul 12, 2011
Last Updated
Jul 12, 2011

Practice Location

Address
1423 CHAPEL ST
Address 2
THIRD FLOOR
ZIP Code
06511-4411
Phone
(203) 787-6581

Authorized Official

Name
DR. ROBERT RUSSELL SORRENTINO, DMD
Title
PRESIDENT
Phone
(203) 787-6581

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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