| NPI | 1164564761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE ALBERT President 860-668-4431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 4137) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |