| NPI | 1215328273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INNA MASCO Business Manager 203-272-7271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CT 8852) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2015-02-12 |