| NPI | 1033669866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN ERIC KEST Owner 203-405-6301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CT 009872) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-10-05 |