| NPI | 1033322805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH FRATARCANGELI Dentist Owner 203-248-0072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 8417) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CT 6325) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |