| NPI | 1740439645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS P GONZALEZ General Dentist 203-753-5041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CT 008397) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2008-09-16 |