Organization · Type 2 NPI

East Lyme Oral and Maxillofacial Surgery

Oral and Maxillofacial Surgery (Dentist) · East Lyme, CT

NPI number 1205906369 Active

About NPI 1205906369

East Lyme Oral and Maxillofacial Surgery's National Provider Identifier is 1205906369, issued on Nov 8, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in East Lyme, CT. The record was last updated on Aug 25, 2007.