| NPI | 1366653933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALVATORE JAMES SQUATRITO President Professional Corporation 860-646-1429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CT 003946) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-08-22 |