| NPI | 1144615493 |
|---|---|
| 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 | 1223P0221X Dentist, Pediatric Dentistry (Licence: CT 0044) |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2015-04-03 |