| NPI | 1780701961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA GERMANIA BERAS-VILLEGA Office Manager 203-730-2917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 008435) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |