| NPI | 1437294501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH R FINN Member 860-651-3541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CT 5957) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: CT 4308) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |