| NPI | 1639219140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN J. MOONEY President 860-963-7676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 007544) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |