| NPI | 1447404272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY E SCHULMAN Owner 860-635-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 6626) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: CT 6626) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2014-06-25 |