| NPI | 1669795381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN GENI-BLANEY Owner 203-227-2520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 008429) |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2010-03-10 |