| NPI | 1144432477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC CRAIG Owner/Dentist 203-272-8222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CT 6009) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2008-12-17 |