| NPI | 1235369794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNITA KALLURI President/Owner 203-235-5588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CT 7806) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CT 4108) |
| Enumeration Date | 2009-07-19 |
| Last Update Date | 2013-01-18 |