| NPI | 1609814730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY S. MANDELL President 860-563-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 5040) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2020-08-22 |