| NPI | 1588869127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISBETH STEEN-HACKETT Member 203-230-8787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 007399) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2020-08-22 |