| NPI | 1487779542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES THOMAS SMITH President 860-489-7974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 5001) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |