| NPI | 1417228503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER A LOWLICHT Owner 203-234-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CT 2063303) |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2012-01-20 |