| NPI | 1285815316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KENNETH HWANG Member 203-984-1794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 009577) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2007-11-16 |