| NPI | 1598810640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY A. BABUSHKIN Dentist President 203-268-5881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CT 7037) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |