| NPI | 1295024040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARY RYAN Owner 203-869-2044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2011-04-01 |