| NPI | 1013129063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMITA AGGARWAL Manager 860-342-3303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 008911) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |