| NPI | 1689011033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT BIALIK Owner 203-788-1458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2015-02-16 |