| NPI | 1659783876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHKAN FAHANDEJSAADI President 860-816-2468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MA DN1855393) |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2014-05-22 |