| NPI | 1518650589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YADVERINDER SINGH Member Of LLC 860-595-8388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| Enumeration Date | 2023-05-26 |
| Last Update Date | 2023-05-26 |