NPI | 1174964332 |
---|---|
Entity Type | Organization |
Authorized Contact | DANNY R ALCANTARA General Dentist 203-754-5400 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CT 009899) |
Enumeration Date | 2013-07-16 |
Last Update Date | 2013-07-16 |