NPI | 1316184633 |
---|---|
Entity Type | Organization |
Authorized Contact | JACEK ZIEMSKI President 203-516-2006 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 9068) |
Enumeration Date | 2009-01-08 |
Last Update Date | 2009-01-08 |