| NPI | 1518401702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KEVIN SONICK Managing Partner 203-254-2006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CT 6434) |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2016-12-07 |