| NPI | 1447596408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY A COHAN President 860-633-6246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CT 008288) |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2012-12-19 |