| NPI | 1790398428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTNY ANN SCIARRA Owner 203-217-7090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist |
| Additional Taxonomies | 125K00000X Advanced Practice Dental Therapist |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-09-02 |