| NPI | 1144729294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRA J ZEID Dentist/Owner 203-865-1480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 5604) |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2018-02-05 |