| NPI | 1407051238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA P FRONTERA President 860-232-4606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CT 008367) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2007-07-23 |