| NPI | 1497758817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE S. CHRISTIAN Dentist 860-658-1991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 005610) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CT 003795) |
| 1223G0001X Dentist, General Practice (Licence: CT 005510) | |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2020-08-22 |