| NPI | 1326255373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY F. MOKOTOFF Owner 203-255-6851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CT 009174) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2008-05-14 |