| NPI | 1083826127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL M BALDYGA President 860-346-9259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: CT 009416) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |