| NPI | 1144221789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID W EPSTEIN Partner/Dentist 860-523-4213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CT 7726) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CT 4316) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: CT 4572) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: CT 5564) | |
| Enumeration Date | 2005-08-04 |
| Last Update Date | 2020-08-22 |