| NPI | 1174799803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH F. OLEYNIK Owner 203-924-4731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 6509) |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2014-02-12 |