| NPI | 1780951715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT AXELROD Dentist/Owner 203-261-8749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 006018) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CT 8972) |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2011-11-18 |