| NPI | 1457767931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL RAKMANOV Owner 203-205-0333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 009721) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2014-07-07 |