| NPI | 1760189955 |
|---|---|
| Doing Business As | COSMETIC & PREVENTIVE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | GABRIELLE WILLIAMSON Dentist 203-268-5881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-02-08 |
| Last Update Date | 2023-02-08 |