| NPI | 1164878740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN H PINES Dentist/Owner 203-248-7720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 006806) |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2016-05-16 |