| NPI | 1194267781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADESH CHAWLA President 860-576-8329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 010203) |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2016-11-14 |