| NPI | 1013909654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS JAMES MULLER President 203-281-5825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: CT 7502) |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2020-08-22 |