| NPI | 1386234672 |
|---|---|
| Doing Business As | HIGHLAND FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | PAUL T LAVELLE Clinical Director 203-921-6141 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2021-01-21 |