NPI | 1700981602 |
---|---|
Entity Type | Organization |
Authorized Contact | PETER V MUNK Dentist/Partner 203-337-6266 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CT 006670) |
Enumeration Date | 2006-09-14 |
Last Update Date | 2014-06-12 |