| NPI | 1508180753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDRIC L ROSEN President 203-776-8556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 4397) |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2010-03-17 |