| NPI | 1396885182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE T. FOUNTAIN Director Of Health 203-977-4936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CT 0389) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2012-10-15 |