| NPI | 1427756949 |
|---|---|
| Doing Business As | DIVINE DENTISTRY AT FAIRFIELD |
| Entity Type | Organization |
| Authorized Contact | ALEXIA KENNEDY Receptionist 203-372-9848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-02-23 |
| Last Update Date | 2023-02-23 |