| NPI | 1548478944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE ROBERT SOFFERMAN Dentist 203-712-7726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 7291) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2019-04-10 |