| NPI | 1154681948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAA AHMED Doctor/Owner 860-928-5334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 010151) |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2012-05-25 |