| NPI | 1245682830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN WILHELMS Owner 860-677-1316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 007405) |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2016-07-07 |