| NPI | 1336613330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY J. DAAR Dentist/Owner 860-643-5350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2019-03-08 |