| NPI | 1760722201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA A WASYLEAN Office Admin 203-744-5941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: CT 5240) |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2013-02-20 |