| 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 |