| NPI | 1790116036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELESTE WEGRZYN RELIGA Owner 860-426-1470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CT 008492) |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2013-12-12 |