| NPI | 1497050330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MARTIN PAGAR Oral Surgeon 203-375-9063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CT 004533) |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2011-01-25 |