| NPI | 1578389730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRUL AUSTIN SIMMS Owner/Dentist 860-871-2618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist Prosthodontics |
| Additional Taxonomies | 1223G0001X Dentist General Practice |
| Enumeration Date | 2024-12-03 |
| Last Update Date | 2024-12-03 |