| NPI | 1386902245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN PAUL FRIEDLER Owner 203-787-0520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CT 5430) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CT 5430) |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2012-04-30 |