| NPI | 1710019658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD P RACCIO Partner 860-443-0861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 005492) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |