| NPI | 1174933162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY TODD KOZLOWSKI President 860-442-4421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CT 8376) |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2014-04-30 |