| NPI | 1689823171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBINA ALI President 860-284-4411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 9436) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CT 9682) |
| 124Q00000X Dental Hygienist (Licence: CT 7403) | |
| 126800000X Dental Assistant | |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2008-09-09 |