NPI | 1508136425 |
---|---|
Entity Type | Organization |
Authorized Contact | OSCAR GONZALEZ Owner/ Director 860-521-2500 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CT 7093) |
Enumeration Date | 2012-01-09 |
Last Update Date | 2012-01-17 |