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 |