| NPI | 1346605987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM DOAN COO Rdinator 203-790-2812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CT 008197) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CT 002145) |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2015-12-28 |