| NPI | 1184925257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK DERMESROPIAN Dds 860-644-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CT 9958) |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2010-11-05 |