| NPI | 1760723431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEEPA SANKAR General Dentist 203-463-8192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 009462) |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2013-05-22 |