Facial Surgery Center | |
115 Technology Dr B101 Trumbull CT 06611-6337 | |
(203) 261-7800 | |
(203) 261-8778 |
Full Name | Facial Surgery Center |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 115 Technology Dr, Trumbull, Connecticut |
Authorized Official Name and Position | Salvatore J Florio (PRESIDENT ORAL AND MAXILLOFACIAL SU) |
Authorized Official Contact | 2032617800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Facial Surgery Center 115 Technology Dr B101 Trumbull CT 06611-6337 Ph: (203) 261-7800 | Facial Surgery Center 115 Technology Dr B101 Trumbull CT 06611-6337 Ph: (203) 261-7800 |
NPI Number | 1336496454 |
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Provider Enumeration Date | 08/08/2012 |
Last Update Date | 11/28/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336496454 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 8215 (Connecticut) | Primary |
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