| NPI | 1750427225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY MAZZINI Practice Administrator 203-755-2744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 006504) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |