| NPI | 1750302980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY BRUCE HAROIAN Owner/Member Dentist 860-289-4955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 6350) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CT 9300) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2008-08-18 |