Mofs-Ct Oral Facial Surgery LLC
NPI #1861920068 in Old Greenwich, Connecticut
Provider Information
- NPI Number
- 1861920068
- Entity Type
- Organization
- Organization Name
- Mofs-Ct Oral Facial Surgery LLC
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Jun 1, 2017
- Last Updated
- Jun 1, 2017
Practice Location
- Address
- 1 BOULDER AVE
- City
- Old Greenwich
- State
- Connecticut
- ZIP Code
- 06870-1420
- Phone
- (203) 990-3300
Authorized Official
- Name
- DR. JANET C BODEY, DDS
- Title
- MANAGING MEMBER
- Phone
- (203) 998-7470
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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