| NPI | 1467780585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAOHSIEN PENG Owner 860-389-3148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: CT 009652) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CT 009652) |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2009-12-01 |