| NPI | 1700338399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAN HONG SANDRA CHAU Owner 203-227-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CT 09249) |
| Enumeration Date | 2016-10-29 |
| Last Update Date | 2016-10-29 |