| NPI | 1174945778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMILIA KEMAL SAID Member 860-205-3390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CT 010475) |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2014-01-16 |