| NPI | 1720208796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA CHINIGO Office Manager 860-536-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 8134) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2008-06-19 |