| NPI | 1144767278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ANNE VELOZ Registered Dental Hygienist 203-218-5960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CT 0006961) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2017-01-26 |