| NPI | 1225629108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS F BRAUN Manager 203-212-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-02-02 |
| Last Update Date | 2021-06-09 |