| NPI | 1174853956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO CORTES President 203-394-8817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 009737) |
| Enumeration Date | 2009-12-30 |
| Last Update Date | 2009-12-30 |