| NPI | 1720083934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT S CIANCIULLI President 860-444-0625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 124Q00000X Dental Hygienist |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2012-12-19 |