| NPI | 1225154446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS J MORRISON Senior VP Of Finance 860-550-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 0312) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2011-02-02 |