| NPI | 1134272511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL H. HANNA President CEO Dentist 860-442-3323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 8132) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2020-08-22 |