| NPI | 1295889517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD S. KIRSCHBAUM Owner 860-653-7596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 126800000X Dental Assistant |
| 124Q00000X Dental Hygienist | |
| 122300000X Dentist | |
| 1223E0200X Dentist, Endodontics | |
| 1223P0221X Dentist, Pediatric Dentistry | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2013-04-01 |