NPI | 1316126527 |
---|---|
Entity Type | Organization |
Authorized Contact | PETER GARWOOD DELANEY President 860-521-7129 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CT 8611) |
Enumeration Date | 2007-10-24 |
Last Update Date | 2007-10-24 |