| 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 |