| NPI | 1760696595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA MROWKA Office Manager 860-535-2331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 7928) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |