| NPI | 1093153918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE R WALDRON Member 203-775-5533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CT 009332) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2013-06-13 |