| NPI | 1255431466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW J KUHLBERG Owner 860-673-5081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2015-03-23 |