| NPI | 1558327684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH S CHASEN President 203-237-7449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: CT 7884) |
| Additional Taxonomies | 1223E0200X Dentist Endodontics (Licence: CT 4689) |
| 1223E0200X Dentist Endodontics (Licence: CT 9031) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2020-08-22 |