| NPI | 1225368509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEON DEMONT JAMES Dentist/Owner 860-805-2401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 0024655) |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2010-01-08 |