| NPI | 1740489434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SHERMAN CEO 860-808-8701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CT 0293) |
| Additional Taxonomies | 122300000X Dentist (Licence: CT 0293) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2007-10-27 |