| NPI | 1265874036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTINA SANTOS-TOMAS Owner 860-372-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CT 9409) |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2013-07-22 |