| NPI | 1053754929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER J LOWNEY Owner 860-886-1466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CT 7738) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2013-04-10 |