| NPI | 1407288350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D MICHALAK Owner Dentist 203-488-6553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CT 009451) |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2013-08-02 |