NPI | 1356493233 |
---|---|
Entity Type | Organization |
Authorized Contact | BYRON J ROUND Owner 860-482-3585 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CT 4398) |
Enumeration Date | 2007-01-18 |
Last Update Date | 2013-03-14 |