| NPI | 1609886480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARDO PENA-ABOSAID President 203-377-6418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CT 0087700) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2020-08-22 |