| NPI | 1437234523 |
|---|---|
| Doing Business As | COMMERCE PARK CHILDREN'S DENTISTRY AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | LAWRENCE DINKES Dentist 203-371-8282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CT 005694) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CT 007789) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: CT 009205) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CT 007036) | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |