| NPI | 1487932836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA M RADULESCU Dds 203-599-5019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: RI DEN03120) |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2011-08-02 |