| NPI | 1467526269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAVVAS D MINTATOS Owner 860-296-9910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 5157) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2014-04-22 |