| NPI | 1588616247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALVATORE JOSEPH GRAZIANO President 203-929-6338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 4749) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CT 4801) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-08-22 |