NPI | 1790170033 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD D'AQUILLA President 203-688-2606 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CT 044) |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CT 044) |
124Q00000X Dental Hygienist (Licence: CT 044) | |
1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: CT 044) | |
Enumeration Date | 2015-04-03 |
Last Update Date | 2016-04-18 |