| NPI | 1568794410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT HACKER Partner 203-488-7444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 007629) |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2015-08-02 |