| NPI | 1437367158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH P SUNSHINE President Dentist 860-447-0338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CT 004372) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: RI 01761) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |