| NPI | 1275914632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS ROLLINS Orthodontist / Owner 203-288-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CT 007219) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2015-06-11 |