| NPI | 1376754564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YASER JOHN WEHBE President 860-928-5334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 009574) |
| Enumeration Date | 2007-05-27 |
| Last Update Date | 2020-08-22 |