NPI | 1033536313 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN J PRESTI Dentist/Owner 203-656-8079 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 9703) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CT 9703) |
Enumeration Date | 2014-03-25 |
Last Update Date | 2014-03-25 |