| NPI | 1679746093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A NORMAN Owner 203-933-2223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 008755) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CT 009760) |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2013-05-09 |