| NPI | 1295877199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT D'AGOSTINO Owner 203-239-2050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 006504) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2013-03-26 |