| NPI | 1184300402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET DROZDOWSKI MAULE President 860-224-3642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Enumeration Date | 2023-06-22 |
| Last Update Date | 2023-06-22 |