| NPI | 1467743518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTI MCCUSKER Finance Manager 203-426-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CT 92300) |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2011-04-25 |