Jsam, LLC

NPI #1861779373 in Branford, Connecticut

Provider Information

NPI Number: 1861779373
Entity Type: Organization
Organization Name: Jsam, LLC
Primary Specialty: Dentist
Enumeration Date: Nov 11, 2011
Last Updated: Nov 14, 2011

Practice Location

Address: 420 E MAIN ST
Address 2: BUILDING 3, SUITE #17
City: Branford
State: Connecticut
ZIP Code: 06405-2940
Phone: (203) 488-6553

Authorized Official

Name: DR. JOHN MICHALAK, DMD
Title: DENTIST
Phone: (203) 488-6553

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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