| 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 |