| NPI | 1528269131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAILA HAROON Credentialing Specialist 203-330-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CT 0032) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2019-05-23 |