| NPI | 1043479199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEOFFREY M. DRAWBRIDGE President 203-729-1697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CT 3643) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2008-06-04 |