| NPI | 1114173135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN STUART LUDWIG President 203-710-6849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 8505) |
| Enumeration Date | 2008-08-10 |
| Last Update Date | 2008-08-10 |