| NPI | 1740794445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE SALONIA Dentist 860-346-6737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2017-11-17 |
| Last Update Date | 2017-11-17 |