| NPI | 1396246708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH MICHAEL LARO Owner 860-649-5675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 007367) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2018-02-22 |