| NPI | 1437319860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD BARRY RUBIN Dentist 860-644-2136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 04599) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2008-06-10 |