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
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 SurgeryOral and Maxillofacial Surgery

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