| NPI | 1366718041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK PASQUAL POLLAK Dentist 860-482-8750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 009519) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2012-03-28 |