| NPI | 1689689382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS J. YANIK Owner/President 860-623-1116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 6628) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-08-22 |