| NPI | 1508993817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN HENRY GUSS President 203-255-6878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 4389) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CT 5010) |
| 1223G0001X Dentist, General Practice (Licence: CT 8447) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2012-04-17 |