| NPI | 1700037538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA BUSIA MACZUGA-STERN Dentist 203-335-0030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 008916) |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2014-02-19 |