| NPI | 1497188320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM P RYAN Owner/Dentist 860-379-4382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 124Q00000X Dental Hygienist |
| 126800000X Dental Assistant | |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2013-08-14 |