| NPI | 1396860441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY L BERMAN President 860-423-5518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 5005) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |