| NPI | 1336214956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE H PATTERSON V President 860-447-2235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 6180) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CT 4485) |
| 1223G0001X Dentist, General Practice (Licence: CT 7784) | |
| 1223G0001X Dentist, General Practice (Licence: CT 7946) | |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |