| NPI | 1770803033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORESTA L BILOUS Orthodontist 203-799-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CT 8859) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2015-03-19 |