| NPI | 1528070026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZORICA ENGELHARDT Owner Partner 860-763-5522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CT 009052) |
| Additional Taxonomies | 122300000X Dentist (Licence: CT 009016) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2013-02-25 |