| NPI | 1053444794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ANTHONY VILLANOVA Owner 860-296-7460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT CT004197) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |