| NPI | 1548646482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEETU SHOKEEN General Dentist 860-990-4377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA DN1855684) |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2015-08-03 |