| NPI | 1417312430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN W FARLEY Owner 860-688-4325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 005372) |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2015-12-17 |