| NPI | 1679761142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW J. KRESSLEY President 860-388-5745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: DE 7920) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2007-10-10 |