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 |