| NPI | 1396169272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARI HUNT Office Manager 203-869-3984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 7701) |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2014-02-12 |