| NPI | 1588064349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IFFAT NAZNEEN Owner/Dentist 203-691-6145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CT 009562) |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2014-09-16 |