| NPI | 1770020042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICK MASTROMIHALIS Owner/Dentist 203-625-7686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CT 046687) |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-01-25 |