Craig A. Stasulis Dmd, Md, Oral and Maxillofacial Surgery, INC
NPI #1881237402 in Newington, Connecticut
Provider Information
- NPI Number
- 1881237402
- Entity Type
- Organization
- Organization Name
- Craig A. Stasulis Dmd, Md, Oral and Maxillofacial Surgery, INC
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Oct 27, 2019
- Last Updated
- Feb 25, 2020
Practice Location
- Address
- 435 WILLARD AVE UNIT D
- City
- Newington
- State
- Connecticut
- ZIP Code
- 06111-2318
- Phone
- (860) 796-1329
Authorized Official
- Name
- DR. CRAIG ALLEN STASULIS, DMD, MD
- Title
- OWNER
- Phone
- (860) 500-7995
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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