| NPI | 1720034457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEOLOGOS TED MALAHIAS Dentist 860-446-8744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 008564) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2020-08-22 |