| NPI | 1457731135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M SHEINTOP President 860-276-0225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CT 7302) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2015-06-08 |