| NPI | 1326317827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY J. DAAR President/ Owner 860-643-5350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CT 6252) |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2016-11-18 |