| NPI | 1427249838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNON D DOMMU Vice President 203-336-1275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 5175) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2007-08-09 |