| NPI | 1750476610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY COCCHIOLA Member 203-929-0405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 3555) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CT 7589) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |