| NPI | 1740552967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND E. LAWRENCE President 860-563-3303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 008642) |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2012-02-03 |