NPI | 1114312469 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD D'AQUILLA President 203-688-2606 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 0044) |
Additional Taxonomies | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: CT 0044) |
261QD0000X Clinic/Center, Dental (Licence: CT 0044) | |
Enumeration Date | 2015-04-03 |
Last Update Date | 2016-05-19 |