| NPI | 1366545931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID H BURKARD Hipaa Privacy Officer Treasurer 860-233-2322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2020-08-22 |