| NPI | 1548484561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGDALENA Z TAUBER Owner/Dentist 860-633-5246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry |
| Additional Taxonomies | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2015-01-12 |