| NPI | 1033862909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMIK DESAI President 203-281-1022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2022-02-01 |