| NPI | 1275734824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY ADRIAN HACK Orthodontist Partner 860-443-1827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CT 007723) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-08-22 |