| NPI | 1396289195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD DEMAS President 860-276-0333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CT 006708) |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2016-12-13 |