| NPI | 1013509538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PIERO G PALACIOS President 860-223-7014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-02-05 |
| Last Update Date | 2021-02-05 |