| NPI | 1649678376 |
|---|---|
| Doing Business As | PUTNAM FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | ALAA AHMED Co Owner 860-928-5334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 010151) |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2014-12-11 |